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Individual
DR. JENNIFER TEEGARDEN
Active
Individual
DR. JENNIFER TEEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-31254
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366620B
—
KS
Enumeration date
02/24/2006
Last updated
03/29/2011
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