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Contact Information

DANIEL T PURDOM JR, MD
7900 LEES SUMMIT RD
KANSAS CITY, MO64139-1236
 Phone: 816-404-7650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DANIEL T PURDOM JR · (Male)

NPI # 1659336212
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 09/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-36500
  • MO License # R8J68
  • MO Medicaid 202683009
  • MO Other R8J68 LICENSE
  • MO Other C160996 MEDICARE B WHEATLANDS
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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