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1760298152 NPI number — JESSIE L KINGREY AUD

NPI Number: 1760298152
Health Care Provider/Practitioner: JESSIE L KINGREY AUD

Information about “1760298152” NPI (JESSIE L KINGREY AUD) exists in 1760298152 in HTML format HTML  |  1760298152 in plain Text format TXT  |  1760298152 in PDF (Portable Document Format) PDF  |  1760298152 in an XML format XML  formats.

NPI Number : 1760298152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760298152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KINGREY",
    "FirstName": "JESSIE",
    "MiddleName": "L",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "AUD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LYCANS",
    "OtherFirstName": "JESSIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9513 W 54TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERRIAM",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66203-2037",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-654-0028",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6650 W 110TH ST STE 330",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66211-1798",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-521-9090",
    "PracticeLocationAddressFaxNumber": "913-521-9955",
    "EnumerationDate": "12/10/2024",
    "LastUpdateDate": "01/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "2537",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237700000X",
          "TaxonomyName": "Hearing Instrument Specialist",
          "LicenseNumber": "2037",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "2025054307",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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