Healthcare Provider Details

I. General information

NPI: 1699976134
Provider Name (Legal Business Name): MAUREEN DUDGEON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 CLAY EDWARDS DR LOWR LEVEL
NORTH KANSAS CITY MO
64116-3237
US

IV. Provider business mailing address

9411 N OAK TRFY STE LL1
KANSAS CITY MO
64155-2262
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-2880
  • Fax: 816-346-7869
Mailing address:
  • Phone: 816-691-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number2025030499
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: