Individual
MR. JACOB GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINDBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-5000
Mailing address
906 TRAILWAY DR, RAYMORE, MO 64083-8181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-84842-041
KS
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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