Provider Demographics
NPI:1801061742
Name:UNRUH, KENNETH P (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:P
Last Name:UNRUH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3651 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1910
Mailing Address - Country:US
Mailing Address - Phone:913-319-7600
Mailing Address - Fax:913-253-1702
Practice Address - Street 1:3651 COLLEGE BLVD STE 100B
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1910
Practice Address - Country:US
Practice Address - Phone:913-362-0031
Practice Address - Fax:913-253-1766
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-37182207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC49000007Medicare Oscar/Certification