Individual
JERILYN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4321 WASHINGTON ST, SUITE 4000, KANSAS CITY, MO 64111-5961
(816) 932-3300
(816) 932-5793
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0532787
KS
207RH0003X
Hematology & Oncology Physician
Primary
2004013306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205475908
—
MO
Enumeration date
06/07/2007
Last updated
10/11/2012
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