Individual
STEVEN DEANE SEGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 STATE LINE RD, STE 380, LEAWOOD, KS 66206
(913) 385-7252
(913) 385-2412
Mailing address
8900 STATE LINE RD, STE 380, LEAWOOD, KS 66206
(913) 385-7252
(913) 385-2412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0422732
KS
2084P0800X
Psychiatry Physician
R3K75
MO
2084P0805X
Geriatric Psychiatry Physician
0422732
KS
2084P0805X
Geriatric Psychiatry Physician
R3K75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15565019
BCBS OF KC
—
Enumeration date
01/10/2006
Last updated
02/21/2012
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