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Individual

DR. JEREMY RYAN SERREYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
196498
AK
207P00000X
Emergency Medicine Physician
Primary
20212012603
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1735632
AK
Enumeration date
03/26/2019
Last updated
10/03/2024
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