Individual
JENNIFER TALAMANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11338 W 63RD ST, SHAWNEE, KS 66203-3336
(913) 248-8000
Mailing address
11338 W 63RD ST, SHAWNEE, KS 66203-3336
(913) 248-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-0906
KS
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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