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Dr. Jay D Crockett, DO
Diagnostic Radiology Physician in Kansas City, Missouri
NPI 1275577850

Jay D Crockett is a Diagnostic Radiology Physician based in Kansas City, MO and is specialized in Diagnostic Radiology. Jay D Crockett practices in Kansas City, MO and has the professional credentials of DO. The NPI Number for Jay D Crockett is 1275577850 and holds a License No. 05-39181 (Missouri).

The current practice location address for Jay D Crockett is 2401 Gillham Rd, Kansas City, MO and can be reached out via phone at 816-234-3273 and via fax at 816-855-1990.

Location: 2401 Gillham Rd, Kansas City, MO, 64108-4619
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Provider Profile Details
NPI Number
1275577850
Provider Name
Jay D Crockett
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2401 Gillham Rd, Kansas City, MO, 64108-4619
Phone Number
816-234-3273
Fax Number
816-855-1990
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
245858501 05 MO
300133399 01 MO RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2401 Gillham Rd
City
State
Zip
64108-4619
Phone Number
816-234-3273
Fax Number
816-855-1990
person
Provider Business Mailing Address Details
Address
2401 Gillham Rd
City
State
Zip
64108-4619
Phone Number
816-234-3273
Fax Number
816-855-1990
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
05-39181 (Kansas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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