Jerry L Old in Lenexa - Hospice And Palliative Medicine
Jerry L Old - NPI 1285731752
Jerry L Old is a Hospice And Palliative Medicine in Lenexa, Kansas. Jerry L Old practices all healthcare services and medical treatments related to Hospice And Palliative 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 | Hospice And Palliative Medicine |
|---|---|
| Taxonomy | 2081H0002X |
| Licence No | 04-16260 |
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Definition: A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care t |
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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 Hospice And Palliative Medicine, and the corresponding taxonomy code is 2081H0002X.
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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