Individual
DR. TIMOTHY DALE DELLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7429
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
106683
MO
Other
Enumeration date
07/20/2006
Last updated
07/12/2007
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