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Individual

ANDREA L. DECINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6019
(913) 588-3975

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S9869
TX
207RG0100X
Gastroenterology Physician
Primary
04-51171
KS
208M00000X
Hospitalist Physician
S9869
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425758601
TX
01
425758602
CSHCN
TX
Enumeration date
04/03/2018
Last updated
08/08/2025
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