Individual
JENNIFER BROOKE HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2800 NE 60TH ST, GLADSTONE, MO 64119-2036
(816) 453-5161
(816) 453-5874
Mailing address
2800 NE 60TH ST, GLADSTONE, MO 64119
(816) 453-5161
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2007029461
MO
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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