Organization
JACQUELINE S ORENDER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE S ORENDER D.O. (OWNER/PHYSICIAN)
(620) 231-3132
Entity
Organization
Contact information
Practice address
2305 S. TUCKER TERRACE, PITTSBURG, KS 66762-6623
(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
—
0529686
KANSAS LICENSE
KS
Enumeration date
01/15/2010
Last updated
02/22/2011
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