MEDICARE: DR. JENNIFER LOUISE FLESKE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4996	KS

General Provider Information

NPI Number	:	1902948581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LOUISE FLESKE D.C.

Provider Business Mailing Address
First Line	:	1230 W 67TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-1941
Country	:	US
Telephone Number	:	913-271-2948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 W 67TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-1941
Country	:	US
Telephone Number	:	620-257-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/31/2016

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