Provider Demographics
NPI:1285727487
Name:MINGLE, RALPH R (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:R
Last Name:MINGLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:901 E. 104TH ST
Mailing Address - Street 2:MAILSTOP 400N
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-502-7104
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:12541 FOSTER ST
Practice Address - Street 2:STE. 300
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2630
Practice Address - Country:US
Practice Address - Phone:913-317-3200
Practice Address - Fax:913-317-3218
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2018-02-26
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Provider Licenses
StateLicense IDTaxonomies
KS04-22057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C51363Medicare UPIN