Individual
JESUS-MARTIN MALDONADO-DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5700
Mailing address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19741
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100933
BCBS
KS
Enumeration date
12/05/2006
Last updated
11/21/2007
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