Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly B. Pendergrass, MD

Individual provider Hematology & Oncology Physician · NPI 1639140221

Kelly B. Pendergrass, MD is a Hematology & Oncology Physician in Lees Summit, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4881 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone: (913) 574-2350
Fax: (913) 574-2413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence R6A95 (MO)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 04-25043 (KS)

Record details

NPI number1639140221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESApril 17, 2018

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