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THOMAS DESKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 OLATHE BLVD LEVEL 1, SUITE D, KANSAS CITY, KS 66160-0001
(135) 882-2009
(913) 588-8423
Mailing address
2000 OLATHE BLVD LEVEL 1, SUITE D, KANSAS CITY, KS 66160-0001
(913) 945-8904

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD102249
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD102249
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100188070A
KS
01
19454039
BLUE CROSS BLUE SHIELD
05
203634019
MO
01
930016800
RR MEDICARE PIN
MO
01
CU0181
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
03/19/2024
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