Individual
DEIDRA L CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2316 E MEYER BLVD, EMERGENCY DEPARTMENT, KANSAS CITY, MO 64132-1136
(913) 469-4244
(913) 469-1939
Mailing address
PO BOX 838, SHAWNEE MISSION, KS 66201-0838
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10424
MO
207P00000X
Emergency Medicine Physician
430050
KS
Other
Enumeration date
11/17/2005
Last updated
03/05/2008
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