Kelly B. Pendergrass in Overland Park - Hematology & Oncology
Kelly B. Pendergrass - NPI 1639140221
Kelly B. Pendergrass is a Hematology & Oncology in Overland Park, Kansas. Kelly B. Pendergrass practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Kelly B. Pendergrass is 1639140221. The last update date is 2018-04-17.
Kelly B. Pendergrass's current location address is 9200 Indian Creek Pkwy, Overland Park, Kansas. You can contact this provider via phone number 9135742800 and fax number 9135742336. The mailing address for Kelly B. Pendergrass is 9200 Indian Creek Pkwy, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly B. Pendergrass |
|---|---|
| Address | 9200 Indian Creek Pkwy, Overland Park, Kansas |
| Phone Number | 9135742800 |
| Fax Number | 9135742336 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639140221 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2018-04-17 |
Provider Mailing Address Detail
| Address | 9200 Indian Creek Pkwy |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662102002 |
| Phone Number | 9135742800 |
| Fax Number | 9135742336 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 04-25043 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1639140221 | MO | -- | |
| 100364750B | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly B. Pendergrass by the Centers for Medicare & Medicaid Services?
The Kelly B. Pendergrass has been issued the NPI (National Provider Identifier) 1639140221, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly B. Pendergrass is located?
The Kelly B. Pendergrass is situated at the following address: 9200 Indian Creek Pkwy, Overland Park, KS, 662102002.
What is the Kelly B. Pendergrass's specialty and taxonomy code?
The Kelly B. Pendergrass's specialty is Hematology & Oncology, and the corresponding taxonomy code is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639140221 to Kelly B. Pendergrass?
The Centers for Medicare & Medicaid Services assigned the 1639140221 to Kelly B. Pendergrass on 2006-01-31.
As of what date were the Kelly B. Pendergrass's details last updated?
The information pertaining to the Kelly B. Pendergrass, including its address, specialty, and other details, was most recently updated on 2018-04-17.