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NPI Code Detail

MEDICARE: DR. JENNIFER LYNN NETH MD

MEDICARE: DR. JENNIFER LYNN NETH MD
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
1208M00000XHospitalist Physician2024030031MO
2207R00000XInternal Medicine Physician94-10654KS

General Provider Information

NPI Number : 1255908034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER LYNN NETH MD
Provider Business Mailing Address
First Line : 901 E 104TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD # MS 2027
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 01/26/2026

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