Individual
JASON DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 3015, KANSAS CITY, KS 66160-3454
(913) 588-2000
(913) 588-2061
Mailing address
8221 PARK ST, LENEXA, KS 66215-4146
(480) 686-0767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
06/25/2021
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