Teegarden, Jennifer

Teegarden, Jennifer is an individual health care provider with primary practice located at 12330 Metcalf Ave Suite 400, Overland Park KS 66213-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Teegarden, Jennifer can be contacted via phone (913) 317-7990.

Contact Information

Primary practice address
12330 Metcalf Ave Suite 400 Overland Park KS 66213-1324
Fax: (913) 317-7018
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-31254 Kansas

Profile Details

NPI number 1720054315
LBN Legal business name Teegarden, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Mar 29th, 2011 - about 13 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 1720054315 NPPES
Kansas MEDICAID 200366620B

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