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Individual

KYLE JANSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
20185 W 220TH ST, SPRING HILL, KS 66083-7806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-41503
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2015
Last updated
04/03/2019
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