Individual
JON F DEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
R1K21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203025606
—
MO
Enumeration date
03/14/2006
Last updated
11/30/2020
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