Individual
DEIDRE HERRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4000
Mailing address
1850 N STATE HIGHWAY 23, BOONEVILLE, AR 72927-6647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025031427
MO
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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