Clarkston, Wendell Kevan

Clarkston, Wendell Kevan is an individual health care provider with primary practice located at 4320 Wornall Rd Suite 240, Kansas City MO 64111-5941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clarkston, Wendell Kevan can be contacted via phone (816) 932-7940.

Contact Information

Primary practice address
4320 Wornall Rd Suite 240 Kansas City MO 64111-5941
Phone: (816) 932-7940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0429011 Kansas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R1732 Missouri

Profile Details

NPI number 1144266248
LBN Legal business name Clarkston, Wendell Kevan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144266248 NPPES
Missouri MEDICAID 202516639

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