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Kelly B. Pendergrass, MD
Hematology & Oncology Physician in Lees Summit, Missouri
NPI 1639140221

Kelly B. Pendergrass is a Hematology & Oncology Physician based in Overland Park, MO and is specialized in Hematology & Oncology. Kelly B. Pendergrass practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for Kelly B. Pendergrass is 1639140221 and holds a License No. 04-25043 (Missouri).

The current practice location address for Kelly B. Pendergrass is 4881 Ne Goodview Cir, Lees Summit, MO and can be reached out via phone at 913-574-2350 and via fax at 913-574-2413.

Location: 4881 Ne Goodview Cir, Lees Summit, MO, 66210-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639140221
Provider Name
Kelly B. Pendergrass
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4881 Ne Goodview Cir, Lees Summit, MO, 66210-2002
Phone Number
913-574-2350
Fax Number
913-574-2413
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639140221 05 MO
100364750B 05 KS
institution
Provider Business Practice Location Address Details
Address
4881 Ne Goodview Cir
City
Lees Summit
State
Missouri
Zip
64064-1996
Phone Number
913-574-2350
Fax Number
913-574-2413
person
Provider Business Mailing Address Details
Address
4881 Ne Goodview Cir
City
Lees Summit
State
Missouri
Zip
64064-1996
Phone Number
913-574-2350
Fax Number
913-574-2413
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
04-25043 (Kansas)
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 obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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