person
Fred S Bodker, MD
Specialist in Overland Park, Kansas
NPI 1417944208

Fred S Bodker is a Specialist based in Kansas City, KS. Fred S Bodker practices in Overland Park, KS and has the professional credentials of MD. The NPI Number for Fred S Bodker is 1417944208 and holds a License No. 04/25774 (Kansas).

The current practice location address for Fred S Bodker is 7504 Antioch Rd, Overland Park, KS and can be reached out via phone at 913-341-3100 and via fax at 913-341-6818. You can also correspond with Fred S Bodker through the mailing address at PO BOX 803861, KANSAS CITY, MO - 64180-3861 (mailing address contact number: 913-341-3100).

Location: 7504 Antioch Rd, Overland Park, KS, 64180-3861
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Provider Profile Details
NPI Number
1417944208
Provider Name
Fred S Bodker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7504 Antioch Rd, Overland Park, KS, 64180-3861
Phone Number
913-341-3100
Fax Number
913-341-6818
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180022395 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7504 Antioch Rd
City
State
Zip
66204-2622
Phone Number
913-341-3100
Fax Number
913-341-6818
person
Provider Business Mailing Address Details
Address
7504 Antioch Rd
City
State
Zip
66204-2622
Phone Number
913-341-3100
Fax Number
913-341-6818
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
04/25774 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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