DR. KENNETH LOEM RALL MD NPI 1558312884

NPI Information

NPI: 1558312884
Provider Name: DR. KENNETH LOEM RALL, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
ONE HOSPITAL DR
COLUMBIA, MO
ZIP 65212
Phone: (573) 882-1026
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DR. Kenneth Loem Rall, MD is a general practice in Columbia, MO. DR. Kenneth Loem Rall, MD NPI is 1558312884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ONE HOSPITAL DR
COLUMBIA, MO
ZIP 65212-001
Phone: (573) 882-1026
Fax: (573) 884-4729

The enumeration date for this NPI number is 5/12/2006 and was last updated on 6/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD27600	MISSOURI	No
2	208D00000X	General Practice		27600	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300090348	OTHER	MISSOURI	RR MEDICARE
2	200639755	MEDICAID	MISSOURI
3	999010635	MEDICARE PIN	MISSOURI
4	P00415739	OTHER	MISSOURI	RAILROAD MEDICARE
5	A10434	MEDICARE UPIN
6	967985236	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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