Kendall P Deselms (NPI# 1164406278, PAC ID# 0648239202) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164406278 |
| PAC ID by PECOS | 0648239202 |
| Professional Enrollment ID | I20041008000185 |
| Full Name | Kendall P Deselms |
| Organization Legal Name | CAMERON REGIONAL MEDICAL CENTER INC |
| Address |
221 E 7th St Walnut Medical Clinic Cameron MO 64429-1722 |
| Phone Number | 8166322211 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | CHIROPRACTIC |
| Group Practice PAC ID | 5092622001 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260057 | CAMERON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 | 8166322211 | CAMERON REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | CAMERON REGIONAL MEDICAL CENTER INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Daily | Nurse Practitioner | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Kerri T Barnes | Urology | Cameron Regional Medical Center Inc | 1600 E Evergreen Mp II A, Cameron Obstetrics and Gynecology Clinic, Cameron, MO 64429 |
| Cassi M Deskins | Nurse Practitioner | Cameron Regional Medical Center Inc | 903 N 25th St, Bethany Health Services, Bethany, MO 64424-1501 |
| Ly T Phan | General Surgery | Cameron Regional Medical Center Inc | 1608 E Evergreen Mp I A, Westside Medical Office, Cameron, MO 64429-2400 |
| Blake H Donaldson | Family Practice | Cameron Regional Medical Center Inc | 1608 E Evergreen St Mp I D, Cameron Specialists Internal Medicine, Cameron, MO 64429-2400 |
| Richard D Campbell | Nurse Practitioner | Cameron Regional Medical Center Inc | 1600 E Evergreen St Mp II B, Cameron Nephrology Clinic, Cameron, MO 64429-2400 |
| Leslie M Landau | General Surgery | Cameron Regional Medical Center Inc | 1600 E Evergreen St Mp II C, Cameron Medical Clinic, Cameron, MO 64429-2400 |
| Thomas E Scott | Rheumatology | Cameron Regional Medical Center Inc | 1600 E Evergreen St Mp II B, Cameron Nephrology Clinic, Cameron, MO 64429-2400 |
| Faheem S Arain | Psychiatry | Cameron Regional Medical Center Inc | 1600 E Evergreen St Mp II B, Cameron Nephrology Clinic, Cameron, MO 64429-2400 |
| Cristi L Campbell | Nurse Practitioner | Cameron Regional Medical Center Inc | 1600 E Evergreen St Mp II B, Cameron Nephrology Clinic, Cameron, MO 64429-2400 |
| Street Address |
221 E 7TH ST WALNUT MEDICAL CLINIC |
| City | CAMERON |
| State | MO |
| Zip | 64429-1722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Daily | Nurse Practitioner | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Laura L Harbison | Family Medicine | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Alexandra K Smith | Nurse Practitioner | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Lindsay B Ortega | Nurse Practitioner | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Dawn Michelle Estes | Nurse Practitioner | Cameron Regional Medical Center Inc | 221 E 7th St, Walnut Medical Clinic, Cameron, MO 64429-1722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri T Barnes | Urology | Cameron Regional Medical Center Inc | 1600 E Evergreen Mp II A, Cameron Obstetrics and Gynecology Clinic, Cameron, MO 64429 |
| Suzanne E Savage | Nurse Practitioner | Cameron Regional Medical Center Inc | 1600 E Evergreen Mp II A, Cameron Obstetrics and Gynecology Clinic, Cameron, MO 64429 |
| Deborah Vivian Fitch | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 1405 W Grand Ave, Quail Run Health Care Center, Cameron, MO 64429-1118 |
| Jonathan Poplin | Clinical Social Worker | 607 Lana Dr, Suite C, Cameron, MO 64429-1392 | |
| Luke J Brennan | Chiropractic | Performance Plus Rehabilitation Center LLC | 602 Lana Dr, Suite A, Cameron, MO 64429-1473 |
| Scott A Murphy | Ophthalmology | Murphy Watson Burr Eye Center, Inc. | 610 Lana Dr, Cameron, MO 64429-1585 |
| Jaimie M Pfeifer | Optometry | Murphy Watson Burr Eye Center, Inc. | 610 Lana Dr, Cameron, MO 64429-1585 |
| Gary D Arn | Optometry | 201 E 3rd St, Cameron, MO 64429-1706 | |
| Andrew Westover | Clinical Social Worker | Family Guidance Center for Behavioral Healthcare | 101 W 3rd St, Cameron, MO 64429-1708 |
| Gordon Marshall Byrom | Internal Medicine | 323 N Main St, Cameron, MO 64429-1748 | |
| Find all physicians in zip 64429 | |||
| City | CAMERON |
| Zip Code | 64429 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMERON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kendall P Deselms.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.