Malia Dejong
KANSAS CITY KIDNEY CONSULTANTS PA


Address: 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Phone: 8165310552

Malia Dejong (NPI# 1154870624, PAC ID# 8123308178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1154870624
PAC ID by PECOS 8123308178
Professional Enrollment ID I20161208000570
Full Name Malia Dejong
Organization Legal Name KANSAS CITY KIDNEY CONSULTANTS PA
Address 100 Ne Missouri Rd
Suite 204
Lees Summit
MO 64068-4702
Phone Number 8165310552
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2769454644
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260138 ST LUKES HOSPITAL OF KANSAS CITY

Other Locations

Address Phone Organization
4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 8165310552 KANSAS CITY KIDNEY CONSULTANTS PA
100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 8165310552 KANSAS CITY KIDNEY CONSULTANTS PA
12300 Metcalf Ave, Overland Park, KS 66213-1324 8165310552 KANSAS CITY KIDNEY CONSULTANTS PA

Organization Information

Organization Legal Name KANSAS CITY KIDNEY CONSULTANTS PA
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Emily Johnston Nurse Practitioner Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Irme Akhtar Nephrology Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Barry C Wood Internal Medicine Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Ryan M Lustig Nephrology Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Johanna L Mccullagh Nephrology Kansas City Kidney Consultants Pa 12300 Metcalf Ave, Overland Park, KS 66213-1324
Gretchen Casper Nurse Practitioner Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Jennifer L. Branch Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Molly L. Cahill Nurse Practitioner Kansas City Kidney Consultants Pa 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964
Rachel Joy Luber Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Suzanne D Cummings Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702

Office Location

Street Address 100 NE MISSOURI RD
SUITE 204
City LEES SUMMIT
State MO
Zip 64068-4702

Physicians in the same location

Name Specialty Organization Address
Ravi S J Singh Ophthalmology Retina Associates Pa 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702
Gregory M Fox Ophthalmology Retina Associates Pa 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702
Jennifer L. Branch Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Steven R Cohen Ophthalmology Retina Associates Pa 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702
Rachel Joy Luber Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Suzanne D Cummings Nurse Practitioner Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702
Ahmed M Awad Internal Medicine Kansas City Kidney Consultants Pa 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702

Physicians in the same zip code

Name Specialty Organization Address
Hannah Page Occupational Therapy Arc Physical Therapy Plus Lp 527 N State Route 291 A, Liberty, MO 64068-1045
Scott Joseph Mcknight Ophthalmology Mcknight Eye Centers, PC 515 N State Route 291, Liberty, MO 64068-1045
Maria Gabriela Miller Physical Therapy Arc Physical Therapy Plus Lp 527 N State Route 291 A, Liberty, MO 64068-1045
Brett J Mcknight Ophthalmology Mcknight Eye Centers, PC 515 N State Route 291, Liberty, MO 64068-1045
Dustin S Mcknight Ophthalmology Mcknight Eye Centers, PC 515 N State Route 291, Liberty, MO 64068-1045
Anthony T Brand Optometry Mcknight Eye Centers, PC 515 N State Route 291, Liberty, MO 64068-1045
Kathryn A Hembree Ophthalmology Northland Eye Specialists PC 1200 Landmark Ave, Liberty, MO 64068-1051
Christine L Mitts Optometry Northland Eye Specialists PC 1200 Landmark Ave, Liberty, MO 64068-1051
Andrea R Keele Optometry Northland Eye Specialists PC 1200 Landmark Ave, Liberty, MO 64068-1051
Janet M Boschert Optometry Northland Eye Specialists PC 1200 Landmark Ave, Liberty, MO 64068-1051
Find all physicians in zip 64068

Competitor

Search similar physicians

City LEES SUMMIT
Zip Code 64068
Specialty NURSE PRACTITIONER
City + Specialty LEES SUMMIT + NURSE PRACTITIONER

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Dataset Information

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.

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