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Jennifer L Distasio, MD
Obstetrics & Gynecology Physician in North Kansas City, Missouri
NPI 1396065447

Jennifer L Distasio is a Obstetrics & Gynecology Physician based in North Kansas City, MO. Jennifer L Distasio practices in North Kansas City, MO and has the professional credentials of MD. The NPI Number for Jennifer L Distasio is 1396065447 and holds a License No. (Missouri).

The current practice location address for Jennifer L Distasio is 2790 Clay Edwards Dr Ste 1200, North Kansas City, MO and can be reached out via phone at 816-468-7800 and via fax at 816-468-8531. You can also correspond with Jennifer L Distasio through the mailing address at 2790 CLAY EDWARDS DR STE 1200, NORTH KANSAS CITY, MO - 64116-3253 (mailing address contact number: 816-468-7800).

Location: 2790 Clay Edwards Dr Ste 1200, North Kansas City, MO, 64116-3253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396065447
Provider Name
Jennifer L Distasio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2790 Clay Edwards Dr Ste 1200, North Kansas City, MO, 64116-3253
Phone Number
816-468-7800
Fax Number
816-468-8531
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396065447 05 MO
institution
Provider Business Practice Location Address Details
Address
2790 Clay Edwards Dr Ste 1200
City
North Kansas City
State
Missouri
Zip
64116-3253
Phone Number
816-468-7800
Fax Number
816-468-8531
person
Provider Business Mailing Address Details
Address
2790 Clay Edwards Dr Ste 1200
City
North Kansas City
State
Missouri
Zip
64116-3253
Phone Number
816-468-7800
Fax Number
816-468-8531
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2010019752 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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