Provider Demographics
NPI:1871525162
Name:FRENCH, MARGUERITE DEVONNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:DEVONNE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4045 NE LAKEWOOD WAY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1799
Mailing Address - Country:US
Mailing Address - Phone:816-886-2184
Mailing Address - Fax:816-886-2397
Practice Address - Street 1:4045 NE LAKEWOOD WAY
Practice Address - Street 2:SUITE 130
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1799
Practice Address - Country:US
Practice Address - Phone:816-886-2184
Practice Address - Fax:816-886-2397
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR56102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201292786Medicaid
KS04-15956OtherKANSAS STATEL LICENSE
MO1871525162Medicaid
MO1871525162Medicaid
MOP00839347Medicare PIN
MOX12000004Medicare PIN