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General NPI Number Information
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NPI Number | 1447129820
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Entity Type | Individual
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Provider Name | KENDRA DUMSKY PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 4350 SHAWNEE MISSION PKWY
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City | FAIRWAY
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State | KS
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Zip | 66205-2528
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Country | US
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Telephone | 913-588-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 4618 W 63RD ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-1511
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Country | US
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Telephone | 816-812-0805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 2025034980
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License Number State | MO
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