Individual
JENNIFER LEIGH HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST # MS 2005, KANSAS CITY, KS 66160-1239
(913) 588-1214
Mailing address
4000 CAMBRIDGE ST # MS 2005, KANSAS CITY, KS 66160-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01076020A
IN
2086S0102X
Surgical Critical Care Physician
01076020A
IN
2086S0127X
Trauma Surgery Physician
036.121342
IL
2086S0127X
Trauma Surgery Physician
Primary
04-45624
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201342140
—
IN
05
—
3156669
—
OH
Enumeration date
02/03/2008
Last updated
01/20/2022
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