Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY B. PENDERGRASS, M.D.
ActiveKELLY B. PENDERGRASS, M.D. is a Hematology healthcare provider located in LEES SUMMIT, Missouri. NPI 1639140221 is currently active in the NPPES registry. Verify at CMS.
Hematology · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1639140221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.493347770038 yrs)
- Last Updated
- Apr 17, 2018
- Licenses
-
04-25043 (KS)R6A95 (MO)
Practice Information
- Address
-
4881 NE GOODVIEW CIRLEES SUMMIT, MO, 640641996Browse MO providers · Browse ZIP 64064
- Phone
- 9135742350
- Fax
- 9135742413
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Hematology
Other Hematology Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| BRIAN M. OSGOOD | M.D. | 1871564286 |
| JOHN M. DAVIS II | M.D. | 1235101684 |
| DR. RAVINDRA REDDY CHUDA | MD | 1689844664 |
| LAKSHMI CHINTALA | M.D. | 1881851285 |
| DR. JACOB PAUL SMELTZER | MD | 1609023803 |
| DR. ZHINENG JAYSON YANG | MD | 1285920694 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.