Provider Demographics
NPI:1710116215
Name:KOURELIS, KONSTANTINOS (MD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTINOS
Middle Name:
Last Name:KOURELIS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:DEPT OF OTOLARYNGOLOGY HEAD AND NECK SURGERY
Mailing Address - Street 2:3901 RAINBOW BOULEVARD
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6719
Mailing Address - Fax:913-588-4676
Practice Address - Street 1:DEPT OF OTOLARYNGOLOGY HEAD AND NECK SURGERY
Practice Address - Street 2:3901 RAINBOW BOULEVARD
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6719
Practice Address - Fax:913-588-4676
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS7162207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology