Jerry L Old is a Family Medicine in Lenexa, Kansas. Jerry L Old practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry L Old is 1285731752. The last update date is 2007-07-08.
Jerry L Old's current location address is 15329 W 95th St, Lenexa, Kansas. You can contact this provider via phone number 9135991125 and fax number 9135993554. The mailing address for Jerry L Old is 15329 W 95th St, Lenexa, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry L Old |
|---|---|
| Address | 15329 W 95th St, Lenexa, Kansas |
| Phone Number | 9135991125 |
| Fax Number | 9135993554 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285731752 |
|---|---|
| Provider Enumeration Date | 2006-09-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15329 W 95th St |
|---|---|
| City | Lenexa |
| State | Kansas (KS) |
| Post Code | 662191262 |
| Phone Number | 9135991125 |
| Fax Number | 9135993554 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 04-16260 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 614032 | KS | FIRSTGUARD | |
| 32423014 | MO | BCBS KANSAS CITY |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry L Old by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry L Old has been assigned the NPI (National Provider Identifier) 1285731752. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jerry L Old?
The Jerry L Old is physically situated at 15329 W 95Th St, in the city of Lenexa, state of KS, with the postal code 662191262.
What is the Jerry L Old's specialty and taxonomy code?
The Jerry L Old's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Jerry L Old's 1285731752 issued?
The Jerry L Old's 1285731752 was issued on 2006-09-19.
When was the information pertaining to Jerry L Old most recently updated or revised?
The details related to Jerry L Old, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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