National Provider Identifier Database

DANIEL T PURDOM JR, MD – NPI #1659336212
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

DANIEL T PURDOM JR, MD
7900 LEES SUMMIT RD
KANSAS CITY, MO64139-1236
Phone: 816-404-7650
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for DANIEL T PURDOM JR

NPI Number 1659336212
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 09/19/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 04-36500
  • MO License #: R8J68
  • MO Medicaid: 202683009
  • MO Other: R8J68 LICENSE
  • MO Other: C160996 MEDICARE B WHEATLANDS
Hospital affiliation n/a

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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