Jacobs, Kristen Ayana

Jacobs, Kristen Ayana is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Suite 500, North Kansas City MO 64116-3251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacobs, Kristen Ayana can be contacted via phone (816) 421-4115.

Contact Information

Primary practice address
2700 Clay Edwards Dr Suite 500 North Kansas City MO 64116-3251
Phone: (816) 421-4115
Fax: (816) 421-4152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003023205 Missouri

Profile Details

NPI number 1124098280
LBN Legal business name Jacobs, Kristen Ayana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 30th, 2007 - about 17 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 1124098280 NPPES
Missouri MEDICAID 208443606
Missouri Other 33110014

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