person
Mrs. Jennifer S Proctor, PA-C
Medical Physician Assistant in Kansas City, Kansas
NPI 1437212594

Jennifer S Proctor is a Medical Physician Assistant based in Kansas City, KS and is specialized in Medical. Jennifer S Proctor practices in Kansas City, KS and has the professional credentials of PA-C. The NPI Number for Jennifer S Proctor is 1437212594 and holds a License No. 15-00984 (Kansas).

The current practice location address for Jennifer S Proctor is 3901 Rainbow Blvd Msc 3010, Kansas City, KS and can be reached out via phone at 913-588-6719 and via fax at 913-588-4676.

Location: 3901 Rainbow Blvd Msc 3010, Kansas City, KS, 64141-1851
person
Provider Profile Details
NPI Number
1437212594
Provider Name
Jennifer S Proctor
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3901 Rainbow Blvd Msc 3010, Kansas City, KS, 64141-1851
Phone Number
913-588-6719
Fax Number
913-588-4676
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200266580A 05 KS
institution
Provider Business Practice Location Address Details
Address
3901 Rainbow Blvd Msc 3010
City
State
Zip
66160-0001
Phone Number
913-588-6719
Fax Number
913-588-4676
person
Provider Business Mailing Address Details
Address
3901 Rainbow Blvd Msc 3010
City
State
Zip
66160-0001
Phone Number
913-588-6719
Fax Number
913-588-4676
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
15-00984 (Kansas)
Definition
Definition to come...
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