Individual
DR. JENNIFER A SVETLECIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5844 NW BARRY RD, SUITE 300, KANSAS CITY, MO 64154-1465
(816) 880-2762
(816) 880-2770
Mailing address
901 E 104TH ST, MS 400S, KANSAS CITY, MO 64131
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0430397
KS
207RP1001X
Pulmonary Disease Physician
Primary
2000170265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001796700
COMMUNITY HEALTH PLAN
—
05
—
200317170A
—
KS
05
—
207320409
—
MO
01
—
34064022
BCBS KC
MO
01
—
34064032
BCBS
—
01
—
P00246341
RAILROAD MEDICARE
—
01
—
P00246397
RAILROAD MEDICARE
—
Enumeration date
08/10/2005
Last updated
11/14/2017
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