Provider Demographics
NPI:1316989270
Name:RYMER, MARILYN M (MD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:M
Last Name:RYMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4400 BROADWAY ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3498
Mailing Address - Country:US
Mailing Address - Phone:816-531-4080
Mailing Address - Fax:816-531-0281
Practice Address - Street 1:4400 BROADWAY ST
Practice Address - Street 2:SUITE 520
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3498
Practice Address - Country:US
Practice Address - Phone:816-531-4080
Practice Address - Fax:816-531-0281
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR8A552084N0400X
KS04-314872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4001889OtherAETNA
08593056OtherBLUE CROSS BLUE SHIELD
C52020Medicare UPIN
08593056OtherBLUE CROSS BLUE SHIELD
C994492Medicare PIN