Individual
JENNIFER ANN LIEBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4350 SHAWNEE MISSION PKWY, FAIRWAY, KS 66205-2528
(913) 588-6965
Mailing address
4350 SHAWNEE MISSION PKWY, FAIRWAY, KS 66205-2528
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
272721
MA
Other
Enumeration date
07/22/2009
Last updated
01/12/2021
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