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Contact Information

ZACHARY W FETTER, DO
2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO64116-3254
 Phone: 816-691-2021
 Fax: 816-346-7690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ZACHARY W FETTER · (Male)

NPI # 1265929111
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/17/2018
Last updated 05/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023014186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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