Koontz, Jennifer S

Koontz, Jennifer S is an individual health care provider with primary practice located at 800 Medical Center Dr , Newton KS 67114-7808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Koontz, Jennifer S can be contacted via phone (316) 283-9977.

Contact Information

Primary practice address
800 Medical Center Dr Newton KS 67114-7808
Phone: (316) 283-9977
Fax: (316) 283-0966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 04-32109 Kansas

Profile Details

NPI number 1407926868
LBN Legal business name Koontz, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated May 9th, 2014 - about 10 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 1407926868 NPPES
Kansas MEDICAID 200409950A

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