Provider Demographics
NPI:1871027706
Name:SEGEBRECHT, RAY WALTER (MD)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:WALTER
Last Name:SEGEBRECHT
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2301 HOLMES STREET
Mailing Address - Street 2:TRUMAN MEDICAL CENTER - HOSPITAL HILL (HH)
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-404-4175
Mailing Address - Fax:816-404-0003
Practice Address - Street 1:2301 HOLMES STREET
Practice Address - Street 2:TRUMAN MEDICAL CENTER - HOSPITAL HILL (HH)
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-404-4175
Practice Address - Fax:816-404-0003
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2020015504207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine