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Individual
JENIFER P COOK
Active
Individual
JENIFER P COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
004-28272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307700A
—
KS
01
—
501910
1ST GUARD
KS
Enumeration date
11/25/2005
Last updated
01/24/2019
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