Organization
COMMUNITY EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY KELLENBERGER D.O. (TREASURER)
(816) 969-6310
Entity
Organization
Contact information
Practice address
530 NW MURRAY RD, EMERGENCY DEPARTMENT, LEES SUMMIT, MO 64081-1434
(816) 969-6310
Mailing address
PO BOX 47164, WICHITA, KS 67201-7164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2006
Last updated
08/22/2020
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