Healthcare Provider Details

I. General information

NPI: 1952656977
Provider Name (Legal Business Name): JENNIFER LITWIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 04/15/2023
Certification Date: 04/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16180 W 135TH ST
OLATHE KS
66062-1517
US

IV. Provider business mailing address

16180 W 135TH ST
OLATHE KS
66062-1517
US

V. Phone/Fax

Practice location:
  • Phone: 913-441-4544
  • Fax:
Mailing address:
  • Phone: 913-441-4544
  • Fax: 816-932-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number05-38837
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2016011282
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6819
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number05-38837
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: