Doctor Name: | KEVIN PAUL BAEHL |
NPI Number: | 1659597136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-094877 |
Business Practice Address: | 3801 S National Ave Cox Hospital-dept Of Radiology Springfield, MO - 658075210 |
Business Phone Number: | 4172694056 |
Business Fax Number: | |
Mailing Address: | 1550 E Republic Rd, SPRINGFIELD |
State: | MO |
Postal Code: | 658046530 |
Phone Number: | 4178896102 |
Fax Number: | 4178896289 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 35-094877 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |