Individual
JACQUELINE S ORENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2305 S. TUCKER TERRACE, PITTSBURG, KS 66762
(620) 231-3132
(620) 231-3133
Mailing address
2305 S. TUCKER TERRACE, PITTSBURG, KS 66762-2026
(620) 231-3132
(620) 231-3133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0529686
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080187136
RR MEDICARE
—
05
—
100422270A
—
KS
01
—
151879
KS BCBS
KS
05
—
208374702
—
MO
Enumeration date
06/25/2006
Last updated
05/24/2023
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