Individual
DEREK ALLEN MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018009895
MO
363L00000X
Nurse Practitioner
Primary
53-81419
KS
Other
Enumeration date
07/20/2022
Last updated
07/27/2022
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