Conaway, Jeffrey Ralph

Conaway, Jeffrey Ralph is an individual health care provider with primary practice located at 5721 W 119Th St , Overland Park KS 66209-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Conaway, Jeffrey Ralph can be contacted via phone (913) 498-7363.

Contact Information

Primary practice address
5721 W 119Th St Overland Park KS 66209-3722
Phone: (913) 498-7363
Fax: (913) 498-6699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-28851 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 115465 Missouri

Profile Details

NPI number 1063416477
LBN Legal business name Conaway, Jeffrey Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416477 NPPES
Missouri MEDICAID 205788607
Missouri MEDICAID 100416010A
Missouri MEDICAID 100416010B

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