Individual
JORDAN GRONBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
8650 ELMRIDGE ST APT 11102, LENEXA, KS 66219-7103
(860) 560-3821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-165626-042
KS
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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