Korth, Maria D

Korth, Maria D is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Korth, Maria D can be contacted via phone (816) 234-3674.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3674
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X R0532 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1034 Kansas

Profile Details

NPI number 1013966415
LBN Legal business name Korth, Maria D
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013966415 NPPES
Missouri MEDICAID 200375940A

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