Provider Demographics
NPI:1427444678
Name:ZUK, KEEGAN (MD)
Entity type:Individual
Prefix:
First Name:KEEGAN
Middle Name:
Last Name:ZUK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8551 BLUEJACKET ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1656
Mailing Address - Country:US
Mailing Address - Phone:913-981-1215
Mailing Address - Fax:913-439-4823
Practice Address - Street 1:1950 DIAMOND PKWY STE 200
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-4321
Practice Address - Country:US
Practice Address - Phone:816-842-6717
Practice Address - Fax:816-842-2574
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2021-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-43482208800000X
MO2020027762208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology