Individual
DEE A SPADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27612
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054523
BCBS
KS
01
—
100258
HPK
KS
05
—
100324690A
—
KS
01
—
11542
PHS
KS
01
—
16995
COVENTRY
KS
Enumeration date
06/18/2006
Last updated
08/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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