Provider Demographics
NPI:1962631044
Name:CORRIVEAU, ERIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:A
Last Name:CORRIVEAU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 4010
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-1944
Mailing Address - Fax:913-588-2496
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 4010
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-1944
Practice Address - Fax:913-588-2496
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2014-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMRS2009-0358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine