Individual provider · NPI-1

Kevin Paul Baehl, MD

Radiology, Diagnostic Radiology · Springfield, MO

NPI number1659597136
StatusActive
Last updated in NPPESJul 26, 2011

Details

NPI
1659597136
Entity type
Individual (NPI-1)
Name
Kevin Paul Baehl
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2007
Last updated
Jul 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology2011009903MOYes
2085B0100X Radiology, Body Imaging35-094877OH
2085D0003X Radiology, Diagnostic Neuroimaging35-094877OH
2085U0001X Radiology, Diagnostic Ultrasound35-094877OH
2085H0002X Radiology, Hospice and Palliative Medicine35-094877OH
2085N0700X 35-094877OH
2085N0904X 35-094877OH
2085P0229X Radiology, Pediatric Radiology35-094877OH
2085R0001X 35-094877OH
2085R0203X Radiology, Therapeutic Radiology35-094877OH
2085R0204X Radiology, Vascular & Interventional Radiology35-094877OH
207U00000X Nuclear Medicine35-094877OH
207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine35-094877OH
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy35-094877OH
207UN0901X Nuclear Medicine, Nuclear Cardiology35-094877OH

Practice location

3801 S National Ave
Cox Hospital-Dept Of Radiology
Springfield, MO 65807-5210

Phone 417-269-4056

Mailing address

1550 E Republic Rd
Springfield, MO 65804-6530

Phone 417-889-6102 · Fax 417-889-6289

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