BERTRAM W MAIDMENT

KANSAS CITY, MO
NPI1043579410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MO  2017014181)
Additional Taxonomies2085R0001X 
(Licence: KS  04-39979)
Enumeration Date2012-05-04
Last Update Date2022-07-21
Business Address
-- BERTRAM W MAIDMENT MD
6601 WINCHESTER AVE STE 230
KANSAS CITY, MO 64133-4681
Phone number: 816-313-2677
Mailing Address
-- BERTRAM W MAIDMENT MD
6601 WINCHESTER AVE STE 230
KANSAS CITY, MO 64133-4681
Phone number: 816-313-2677
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