Mollie J Jackson in Kansas City - Gastroenterology

Mollie J Jackson - NPI 1619135373

Mollie J Jackson is a Gastroenterology in Kansas City, Kansas. Mollie J Jackson practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mollie J Jackson is 1619135373. The last update date is 2014-07-22.

Mollie J Jackson's current location address is 3901 Rainbow Blvd, Kansas City, Kansas. You can contact this provider via phone number 9135883283 and fax number 9135883975. The mailing address for Mollie J Jackson is 3901 Rainbow Blvd, Kansas City, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mollie J Jackson
Address 3901 Rainbow Blvd, Kansas City, Kansas
Phone Number 9135883283
Fax Number 9135883975
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1619135373
Provider Enumeration Date 2008-05-29
Last Updated Date 2014-07-22

Provider Mailing Address Detail

Address 3901 Rainbow Blvd
City Kansas City
State Kansas (KS)
Post Code 661608500
Phone Number 9135883283
Fax Number 9135883975

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 05-37265
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200984700 IN --
200984700 KS --

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FAQs about Mollie J Jackson

What is the unique 10-digit identification code issued to Mollie J Jackson by the Centers for Medicare & Medicaid Services?

The Mollie J Jackson has been assigned the NPI (National Provider Identifier) 1619135373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mollie J Jackson?

The Mollie J Jackson is physically situated at 3901 Rainbow Blvd, in the city of Kansas City, state of KS, with the postal code 661608500.

What is Mollie J Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mollie J Jackson is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.

On what date did the Mollie J Jackson receive its 1619135373 assignment from the Centers for Medicare & Medicaid Services?

The Mollie J Jackson was assigned its 1619135373 by the Centers for Medicare & Medicaid Services on 2008-05-29.

As of what date was the information pertaining to Mollie J Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mollie J Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-22.

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