Jerry L Old, M.D.

NPI #1285731752 in Lenexa, Kansas

Provider Information

NPI Number: 1285731752
Entity Type: Individual
Name: Jerry L Old, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Medicine & Rehabilitation - Hospice and Palliative Medicine
Credential: M.D.
Enumeration Date: Sep 19, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 15329 W 95TH ST
City: Lenexa
State: Kansas
ZIP Code: 66219-1262
Phone: (913) 599-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Hospice and Palliative Medicine — Hospice and Palliative Medicine	2081H0002X	Primary
Family Medicine	207Q00000X

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