Provider Demographics
NPI:1629131735
Name:HAIR, RICHARD L (MA MED)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:HAIR
Suffix:
Gender:M
Credentials:MA MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11401 JEFFERSON
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114
Mailing Address - Country:US
Mailing Address - Phone:816-941-7831
Mailing Address - Fax:816-523-8782
Practice Address - Street 1:8301 STATE LINE
Practice Address - Street 2:SUITE 205
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-523-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO300090106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS27137013OtherBCBS
KS6245545OtherUNITED HEALTHCARE
MO27137013OtherBCBS
MO6245545OtherUNITED HEALTHCARE