Individual
DR. TIMOTHY J FENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 NE SAINT LUKES BLVD STE 240, LEES SUMMIT, MO 64086
(816) 931-1883
(816) 554-4849
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-7117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013012517
MO
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
2013012517
MO
207RC0000X
Cardiovascular Disease Physician
2013012517
MO
Other
Enumeration date
06/20/2010
Last updated
08/28/2020
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