Individual
JAY P SPORTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3715 N OAK TRAFFICWAY, KANSAS CITY, MO 64116
(816) 455-1414
(816) 455-8343
Mailing address
6453 N AMORET AVE, KANSAS CITY, MO 64151
(816) 507-4613
(816) 455-8343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002032135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33601017
BCBS
MO
Enumeration date
08/02/2006
Last updated
07/08/2007
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