Individual
JENNIFER VILLWOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3010, KANSAS CITY, KS 66160-8500
(913) 588-8328
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3010, KANSAS CITY, KS 66160-8500
(913) 588-8328
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-38998
KS
207Y00000X
Otolaryngology Physician
2016013812
MO
Other
Enumeration date
04/26/2011
Last updated
07/13/2016
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