Individual
DEEPA SURESH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023023769
MO
208000000X
Pediatrics Physician
94-11597
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2023
Last updated
06/28/2023
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