Provider Demographics
NPI:1114974607
Name:LOUNCE, HARRY (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:LOUNCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY
Mailing Address - Street 2:MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-9000
Mailing Address - Fax:913-588-9822
Practice Address - Street 1:12121 BLUE RIDGE EXT
Practice Address - Street 2:BLUE RIDGE FAMILY PHYSICIANS, STE. M
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-6401
Practice Address - Country:US
Practice Address - Phone:816-761-0884
Practice Address - Fax:816-716-1790
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2011-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO36186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
157695XXOtherPREFERRED CARE OF NY
2054542OtherAETNA
10204081OtherBCBS
481159444OtherJAYHAWK TAX ID
080160972OtherRR MEDICARE
10001636300OtherCHP
2054542OtherAETNA
C50569Medicare UPIN