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Individual

DR. JOY A WEYDERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 RAINBOW BLVD, MAIL STOP 4004, KANSAS CITY, KS 66103-2937
(913) 588-6364
(913) 588-6338
Mailing address
3901 RAINBOW BLVD, MAIL STOP 4004, KANSAS CITY, KS 66103-2937
(913) 588-6364
(913) 588-6338

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-34064
KS
208000000X
Pediatrics Physician
2002029455
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100445690C
KS
05
205970106
MO
Enumeration date
05/10/2006
Last updated
03/09/2012
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