Organization
FERNANDO FERNANDEZ, M. D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO FERNANDEZ M.D. (PRESIDENT/OWNER)
(816) 421-0188
Entity
Organization
Contact information
Practice address
2750 CLAY EDWARDS DR STE 320, NORTH KANSAS CITY, MO 64116-3259
(816) 421-0188
(816) 421-0874
Mailing address
2750 CLAY EDWARDS DR STE 320, NORTH KANSAS CITY, MO 64116-3259
(816) 421-0188
(816) 421-0874
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201227717
—
MO
Enumeration date
06/24/2009
Last updated
06/24/2009
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