Individual
DR. SAMUEL KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4321 WASHINGTON ST STE 5300, KANSAS CITY, MO 64111-5931
(816) 531-1234
(816) 531-0737
Mailing address
4321 WASHINGTON ST STE 5300, KANSAS CITY, MO 64111-5931
(816) 531-1234
(816) 531-0737
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-35782
KS
208800000X
Urology Physician
Primary
2012017449
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47807015
BCBS KC
—
01
—
P01229653
RR MEDICARE
KS
Enumeration date
04/11/2007
Last updated
01/15/2021
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