Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2013021801 | MO |
Y | 208600000X | Surgeon | 2013021801 | MO |
N | 2086S0102X | Surgical Critical Care | 2013021801 | MO |
N | 2086S0127X | Trauma Surgeon | 2013021801 | MO |
NPI | 1093834442 |
---|---|
Provider Name | Dr. Dustin Ryan Neel |
First Address | Kansas City, MO 64108-2602 |
Second Address | Kansas City, MO 64108-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 18/10/2016 |