Individual
JEFFREY L HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1500
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 285-6923
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2003028773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209201508
—
MO
Enumeration date
04/05/2006
Last updated
01/17/2017
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