Provider Demographics
NPI:1750487062
Name:DUSING, REGINALD W (MD)
Entity type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:W
Last Name:DUSING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:4070 DELP MAIL STOP 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6800
Mailing Address - Fax:913-588-7899
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAIL STOP 4032
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6800
Practice Address - Fax:913-588-7899
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
KS04-24130207U00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS638001OtherFIRSTGUARD
MO26998021OtherBCBS KANSAS CITY
MO26998021OtherBCBS KANSAS CITY
A11897Medicare UPIN