Provider Demographics
NPI:1134757354
Name:CAMEJO, HALEY MARIE (MD)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:CAMEJO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MARIE
Other - Last Name:KERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9151 NE 81ST TER STE 105
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1176
Mailing Address - Country:US
Mailing Address - Phone:816-994-8787
Mailing Address - Fax:816-994-8788
Practice Address - Street 1:9151 NE 81ST TER STE 105
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1176
Practice Address - Country:US
Practice Address - Phone:816-994-8787
Practice Address - Fax:816-994-8788
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023027583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty