Individual
DR. JEFFREY PAUL YANNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 SW LEMANS LANE, LEES SUMMIT, MO 64082
(816) 524-3223
(816) 525-2697
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2001001596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29836011
BCBSKC PROVIDER NUMBER
KS
Enumeration date
07/18/2005
Last updated
07/08/2007
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