# FERNANDO FERNANDEZ, M. D. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366670796
- **Authorized official:** DR. FERNANDO FERNANDEZ M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (816) 421-0188

## Contact information

- **Practice address:** 2750 CLAY EDWARDS DR STE 320, NORTH KANSAS CITY, MO 64116-3259
- **Practice address phone:** (816) 421-0188
- **Practice address fax:** (816) 421-0874
- **Mailing address:** 2750 CLAY EDWARDS DR STE 320, NORTH KANSAS CITY, MO 64116-3259
- **Mailing address phone:** (816) 421-0188
- **Mailing address fax:** (816) 421-0874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 06/24/2009