Individual
JACOB STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSA AA
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
(816) 932-9089
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
(816) 932-9089
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2024001731
MO
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
06/25/2026
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