Jackson Drive Emergency Physicians LLC
NPI #1053732248 in Independence, Missouri
Provider Information
- NPI Number
- 1053732248
- Entity Type
- Organization
- Organization Name
- Jackson Drive Emergency Physicians LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Dec 15, 2013
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 19600 E 39TH ST S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-2301
- Phone
- (816) 698-7000
Authorized Official
- Name
- KATHY KONDAS
- Title
- OFFICER
- Phone
- (973) 251-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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