Individual
MR. SERGIO M ZADERENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 MISSION RD, SUITE 261, PRAIRIE VILLAGE, KS 66208
(913) 649-0923
(913) 649-0990
Mailing address
8201 MISSION RD, SUITE 261, PRAIRIE VILLAGE, KS 66208
(913) 649-0923
(913) 649-0990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0423954
KS
2084P0800X
Psychiatry Physician
R6P58
MO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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