Individual
MARY L REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-8500
(913) 588-1944
(913) 588-2496
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-21418
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080082410
RAILROAD MEDICARE
—
05
—
100230190A
—
KS
01
—
13319051
BCBS KANSAS CITY
MS
05
—
248633604
—
MO
01
—
626870
FIRSTGUARD
KS
Enumeration date
10/06/2006
Last updated
07/16/2014
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