KELLY E DEMUYNCK (NPI# 1750772349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750772349 |
Entity Type | Individual |
Full Name | KELLY E DEMUYNCK |
Practice Address |
4320 Wornall Rd Ste. 50 Kansas City MO 64111-5941 |
Practice Telephone | 8169313312 |
Practice Fax Number | 8165319862 |
Mailing Telephone | 8169313312 |
Mailing Fax Number | 8165319862 |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 15- | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4320 WORNALL RD STE. 50 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-5941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
1992256069 | Jackie Wallman | Occupational Therapist | 4320 Wornall Rd, Suite 600, Kansas City, MO 64111-5941 | 2016-10-24 |
1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
1255979613 | Michael Raymond Floyd Coody | Physician Assistant | 15 W 10th St Apt 1203, Kansas City, MO 64105-1895 | 2019-12-17 |
1437706652 | Hannah Marie Mentjes | Physician Assistant | 5004 Walnut St, Kansas City, MO 64112-2757 | 2019-08-22 |
1063981272 | Heather Howell | Physician Assistant | 10940 Parallel Pkwy Ste M, Kansas City, KS 66109-4515 | 2018-11-16 |
1194211144 | Nicholas Maxwell | Physician Assistant | 5330 N Oak Trfy Ste 201, Kansas City, MO 64118-4600 | 2018-07-02 |
1750873741 | Chelsea Johanson | Physician Assistant | 1901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2018-06-05 |
1235685975 | Stacey Schultz | Physician Assistant | 5330 North Oak Trfwy, Suite 201, Kansas City, MO 64118-4600 | 2016-09-01 |
1386096980 | Colleen Marie Sommer | Physician Assistant | 3901 Rainbow Blvd Level 3 Otolaryngology, Kansas City, KS 66160-0001 | 2016-07-07 |
1730500265 | Meghan L Fraley | Physician Assistant | 5844 Nw Barry Rd Ste 340, Kansas City, MO 64154-1402 | 2013-12-31 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64111 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.