Dr. Richard Jacob Fantus, M.D.
Urology in Kansas City, KS. Individual provider (NPI-1).
NPI number1811301955
StatusActive
Last updated in NPPESSep 19, 2022
Details
- NPI
- 1811301955
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Jacob Fantus
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2014
- Certification date
- Sep 19, 2022
- Last updated
- Sep 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 04-46285 | KS | Yes |
| 208800000X | Urology | 036.142681 | IL |
Practice location
3901 Rainbow BlvdKansas City, KS 66160-1340
Phone 913-588-6982
Mailing address
3901 Rainbow BlvdKansas City, KS 66160-8500
Phone 913-588-6982
Other practice locations
2180 Pfingsten Rd Ste 3000
Glenview, IL 60026-1340
Glenview, IL 60026-1340
Phone 847-503-3000 · Fax 847-503-3500
2301 Holmes St
Kansas City, MO 64108-2640
Kansas City, MO 64108-2640
Phone 816-404-4400
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