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General NPI Number Information
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NPI Number | 1831126358
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Entity Type | Individual
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Provider Name | MEGAN MARIE DESPAIN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 9100 W 74TH ST
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-4004
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Country | US
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Telephone | 913-676-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 LEE'S SUMMIT ROAD TRUMAN MEDICAL CENTER LAKEWOOD
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City | KANSAS CITY
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State | MO
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Zip | 64139
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Country | US
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Telephone | 816-404-7500
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2009012786
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License Number State | MO
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