Healthcare Provider Details

I. General information

NPI: 1942415807
Provider Name (Legal Business Name): PATRICIA E JONES ALLERGY AND ASTHMA CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

IV. Provider business mailing address

232 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

V. Phone/Fax

Practice location:
  • Phone: 816-246-2131
  • Fax: 816-246-9668
Mailing address:
  • Phone: 816-246-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMOR1D67
License Number StateMO

VIII. Authorized Official

Name: DR. PATRICIA ELLEN JONES
Title or Position: PRESIDENT
Credential: MD
Phone: 816-246-2131