person
Matilda Dervisevic, MD
Student in an Organized Health Care Education/Training Program in Kansas City, Missouri
NPI 1649030768

Matilda Dervisevic is a Student in an Organized Health Care Education/Training Program based in Kansas City, MO. Matilda Dervisevic practices in Kansas City, MO and has the professional credentials of MD. The NPI Number for Matilda Dervisevic is 1649030768 and holds a License No. (Missouri).

The current practice location address for Matilda Dervisevic is 2401 Gillham Rd, Kansas City, MO and can be reached out via phone at 816-234-3000 and via fax at 816-302-9939.

Location: 2401 Gillham Rd, Kansas City, MO, 64108-4619
person
Provider Profile Details
NPI Number
1649030768
Provider Name
Matilda Dervisevic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2401 Gillham Rd, Kansas City, MO, 64108-4619
Phone Number
816-234-3000
Fax Number
816-302-9939
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2401 Gillham Rd
City
State
Zip
64108-4619
Phone Number
816-234-3000
Fax Number
816-302-9939
person
Provider Business Mailing Address Details
Address
2401 Gillham Rd
City
State
Zip
64108-4619
Phone Number
816-234-3000
Fax Number
816-302-9939
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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