Individual
MR. JAY A LEDNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10901 GRANADA LN, #200, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664
Mailing address
10901 GRANADA LN, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-31905
KS
207R00000X
Internal Medicine Physician
R7H48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13988062
BCBS
—
01
—
4103158
AETNA
—
Enumeration date
08/25/2005
Last updated
07/09/2007
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