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Individual
JEFFERY PARKER RHOADS
Active
Individual
JEFFERY PARKER RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
04-21193
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002110
MEDICARE PTAN
KS
05
—
100178260C
—
KS
05
—
100178260D
—
KS
01
—
101715
BCBS
KS
Enumeration date
06/19/2006
Last updated
10/26/2021
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