Individual
YELENA PINZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8800 STATE LINE RD, LEAWOOD, KS 66206-1553
(913) 383-9099
(816) 383-3103
Mailing address
8800 STATE LINE RD, LEAWOOD, KS 66206-1553
(913) 383-9099
(913) 383-3103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002012690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245988209
—
MO
01
—
P00009825
RAILROAD MEDICARE
MO
Enumeration date
05/25/2006
Last updated
09/11/2014
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