Provider Demographics
NPI:1457410557
Name:REDINGTON, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:REDINGTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:N KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-474-9353
Mailing Address - Fax:816-474-3627
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 410
Practice Address - City:N KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-474-9353
Practice Address - Fax:816-474-3627
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MOMD100080207RN0300X
KS0423997207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F18404Medicare UPIN