Individual
JASON JIMMY SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 CLAY EDWARDS DR, STE 200A, NORTH KANSAS CITY, MO 64116-3237
(816) 968-9320
Mailing address
2750 CLAY EDWARDS DR STE 200A, KANSAS CITY, MO 64116-3277
(816) 968-9320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009011011
MO
Other
Enumeration date
07/28/2009
Last updated
10/22/2014
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