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Individual
MRS. LEXY JADE ROONEY
Active
Individual
MRS. LEXY JADE ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501689
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289036
PTAN
KS
05
—
220080967
—
MO
05
—
30004259230001
—
KS
Enumeration date
03/29/2014
Last updated
03/18/2026
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