Individual
JORDAN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2301
(816) 454-3424
Mailing address
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2301
(816) 454-3424
(816) 524-4929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2025018614
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Enumeration date
03/22/2021
Last updated
10/06/2025
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