Provider Demographics
NPI:1679528673
Name:DEW, PAUL (DO)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:DEW
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1010 CARONDELET DR
Mailing Address - Street 2:STE 220
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4859
Mailing Address - Country:US
Mailing Address - Phone:816-941-1600
Mailing Address - Fax:816-941-1699
Practice Address - Street 1:1010 CARONDELET DR
Practice Address - Street 2:STE 220
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4859
Practice Address - Country:US
Practice Address - Phone:816-941-1600
Practice Address - Fax:816-941-1699
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2010-07-19
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Provider Licenses
StateLicense IDTaxonomies
MO20001623742083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO42969014OtherBLUECROSS BLUESHIELD OF KC
MO7798562OtherCIGNA HEALTHCARE OF KANSAS/MISSOURI, INC
MO7798562OtherAETNA US HEALTHCARE
MO7798562OtherAETNA US HEALTHCARE