Provider Demographics
NPI:1932490265
Name:NEDVED, DREW D (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:D
Last Name:NEDVED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 804910
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-4910
Mailing Address - Country:US
Mailing Address - Phone:816-241-0861
Mailing Address - Fax:816-241-6041
Practice Address - Street 1:2750 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 420
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3237
Practice Address - Country:US
Practice Address - Phone:816-241-0861
Practice Address - Fax:816-241-6041
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-37770207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology