Jasper Fullard in Kansas City - Geriatric Medicine
Jasper Fullard - NPI 1770523540
Jasper Fullard is a Geriatric Medicine in Kansas City, Missouri. Jasper Fullard practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Jasper Fullard is 1770523540. The last update date is 2014-07-10.
Jasper Fullard's current location address is 5746 N Broadway St, Kansas City, Missouri. You can contact this provider via phone number 8169124539 and fax number 8558136642. The mailing address for Jasper Fullard is 5746 N Broadway St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jasper Fullard |
|---|---|
| Address | 5746 N Broadway St, Kansas City, Missouri |
| Phone Number | 8169124539 |
| Fax Number | 8558136642 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770523540 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2014-07-10 |
Provider Mailing Address Detail
| Address | 5746 N Broadway St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641183998 |
| Phone Number | 8169124539 |
| Fax Number | 8558136642 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | R7174 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100093400F | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jasper Fullard by the Centers for Medicare & Medicaid Services?
The Jasper Fullard has been assigned the NPI (National Provider Identifier) 1770523540. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jasper Fullard's facilities are geographically located?
The facilities of Jasper Fullard are physically situated at the following location: 5746 N Broadway St, Kansas City, MO, 641183998.
What is the Jasper Fullard's specialty and taxonomy code?
The Jasper Fullard's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770523540 to Jasper Fullard?
The Jasper Fullard received its 1770523540 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information regarding Jasper Fullard most recently updated?
The details pertaining to the Jasper Fullard, including its address, specialty, and other relevant information, were last refreshed on 2014-07-10.
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