KENDALL P DESELMS (NPI# 1164406278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164406278 |
| Entity Type | Individual |
| Full Name | KENDALL P DESELMS |
| Credential | DO, DC |
| Practice Address |
221 E 7th St Cameron MO 64429-1722 |
| Mailing Address |
1600 E Evergreen St Po Box 557 Cameron MO 64429-2400 |
| Practice Telephone | 8166328407 |
| Practice Fax Number | 8166322943 |
| Mailing Telephone | 8166322101 |
| Mailing Fax Number | 8166493383 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 005457 | MO | Chiropractic Providers |
| Y | 207Q00000X | Family Medicine | 107636 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PART B | 785D378 | 01 |
| MO | 249751009 | 05 | |
| MO | MEDICARE RAILROAD | P00191306 | 01 |
| Street Address |
221 E 7TH ST |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376990 | Cameron Regional Medical Center | Clinic/Center | 221 E 7th St, Cameron, MO 64429-1722 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780977512 | James Rae Cantu | Family Medicine | 101 Lafferty, Cameron, TX 76520-3684 | 2011-05-26 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1376783373 | Kelly H Barki Do | Family Medicine | Rr 4 Box 19, Cameron, WV 26033-9520 | 2009-03-03 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1396836367 | Cameron Community Health Center Inc | Family Medicine | Rd# 4 Box 19 Wilson Drive, Cameron Community Health Center Inc, Cameron, WV 26033-9520 | 2006-09-27 |
| 1134239130 | Kelly H Barki | Family Medicine | Rd #4 19 Wilson Drive, Cameron Community Health Center Inc, Cameron, WV 26033-9520 | 2006-08-30 |
| 1336253343 | James Kay Stoneking | Family Medicine | 1111 Euclid Dr., Veterans Cboc, Cameron, MO 64429 | 2006-08-18 |
| 1871505024 | Paro Physician Services Inc. | Family Medicine | 908 N Crockett Ave, Cameron, TX 76520-2560 | 2006-08-13 |
| 1740203611 | First Choice Community Health Centers | Family Medicine | 985 Nc 87 South, Cameron, NC 28326 | 2006-07-25 |
| 1598713174 | Mike L Locklear | Family Medicine | 101 Lafferty Ave, Cameron, TX 76520-2551 | 2006-05-05 |
| Find all providers in CAMERON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.