Thomas, Jaqueline Koke

Thomas, Jaqueline Koke is an individual health care provider with primary practice located at 7803 Ne 72Nd Ter , Kansas City MO 64158-1268. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Thomas, Jaqueline Koke can be contacted via phone (816) 756-0780.

Contact Information

Primary practice address
7803 Ne 72Nd Ter Kansas City MO 64158-1268
Phone: (816) 756-0780
Fax: (816) 756-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 003592 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003592 Missouri

Profile Details

NPI number 1154395515
LBN Legal business name Thomas, Jaqueline Koke
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 21st, 2009 - about 16 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 1154395515 NPPES
Missouri MEDICAID 478149826

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