Dr. Kevin B Imhof
Otolaryngology/Facial Plastic Surgery
6500 Hospital Dr
Hannibal
, Missouri 63401-6890
Dr. Kevin B Imhof
Otolaryngology/Facial Plastic Surgery
6500 Hospital Dr
Hannibal
, Missouri 63401-6890
(573) 629-3336
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Kevin B Imhof
- 6500 Hospital Dr P.o. Box 1239
- Hannibal, MO
- Zip : 63401-6890
- Fax : (573) 629-3336
- Phone : (573) 629-3301
Second Address
- Dr. Kevin B Imhof
- 6500 Hospital Dr
- Hannibal, MO
- Zip : 63401-6890
- Fax : (573) 629-3336
- Phone : (573) 629-3301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | R2F68 | MO |
National Provider Identifier
| NPI | 1285613885 |
|---|---|
| Provider Name | Dr. Kevin B Imhof |
| First Address | Hannibal, MO 63401-6890 |
| Second Address | Hannibal, MO 63401-6890 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 06/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 242661700 | (05) | MO |
| E09109 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.