Individual
JENESIS COUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6213 E 108TH ST, KANSAS CITY, MO 64134-2530
(816) 912-7803
Mailing address
2611 SW 117TH STREET #223, TOPEKA, KS 66604
(816) 912-7900
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
T-014-079
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832977449
—
KS
Enumeration date
01/29/2019
Last updated
01/29/2019
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