Individual
CODY JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7846 GARNETT ST, LENEXA, KS 66214-1417
(785) 633-9939
Mailing address
7846 GARNETT ST, LENEXA, KS 66214-1417
(785) 633-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016019445
MO
208000000X
Pediatrics Physician
94-09093
KS
Other
Enumeration date
04/07/2016
Last updated
08/10/2016
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