Healthcare Provider Details

I. General information

NPI: 1861488678
Provider Name (Legal Business Name): JANE ANNE BELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE ANNE DAFFRON M.D.

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CLAY AVE
PLATTSBURG MO
64477-1424
US

IV. Provider business mailing address

400 W CLAY AVE
PLATTSBURG MO
64477-1424
US

V. Phone/Fax

Practice location:
  • Phone: 181-641-5346
  • Fax: 816-539-3301
Mailing address:
  • Phone: 816-539-2117
  • Fax: 816-539-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number112738MD
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: