Individual
CHRISTOPHER DESELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3302 S BELT HWY, SAINT JOSEPH, MO 64503-1534
(913) 682-2000
(913) 946-1699
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 680-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2014022453
MO
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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