Individual
DANIEL KELETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 NW MOCK AVE, STE. 100, BLUE SPRINGS, MO 64014-2543
(816) 655-5592
(816) 655-5593
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 574-2800
(913) 574-2336
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
04-28194
KS
2085R0001X
Radiation Oncology Physician
Primary
118429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361600E
—
KS
05
—
1356325245
—
MO
Enumeration date
12/04/2005
Last updated
05/09/2016
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