KELLY E DEMUYNCK


Address: 4320 Wornall Rd, Ste. 50, Kansas City, MO 64111-5941
Phone: 8169313312

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 15- KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4320 WORNALL RD
STE. 50
City KANSAS CITY
State MO
Zip Code 64111-5941

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City KANSAS CITY
Zip Code 64111

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Dataset Information

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.

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