Proctor, Jennifer S

Proctor, Jennifer S is an individual health care provider with primary practice located at 3901 Rainbow Blvd Msc 3010 , Kansas City KS 66160-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Proctor, Jennifer S can be contacted via phone (913) 588-6719.

Contact Information

Primary practice address
3901 Rainbow Blvd Msc 3010 Kansas City KS 66160-0001
Phone: (913) 588-6719
Fax: (913) 588-4676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-00984 Kansas

Profile Details

NPI number 1437212594
LBN Legal business name Proctor, Jennifer S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 22nd, 2015 - about 9 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 1437212594 NPPES
Kansas MEDICAID 200266580A

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