Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 2017018298 | MO |
NPI | 1013356583 |
---|---|
Provider Name | Dr. Stephen M Eikermann |
First Address | Kansas City, MO 64108-2602 |
Second Address | Kansas City, MO 64108-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 30/11/2020 |