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1720027212
KEENAN R BERGHOFF
NORTH KANSAS CITY, MO
NPI
1720027212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 115623)
Additional Taxonomies
208600000X Surgery
(Licence: IN 01063361A)
Enumeration Date
2006-06-06
Last Update Date
2021-02-18
Business Address
KEENAN R BERGHOFF MD
2790 CLAY EDWARDS DR STE 625
NORTH KANSAS CITY, MO 64116-3278
Phone number: 816-455-3990
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Mailing Address
KEENAN R BERGHOFF MD
2790 CLAY EDWARDS DR STE 625
NORTH KANSAS CITY, MO 64116-3278
Phone number: 816-455-3990
Copy
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