Individual
JORDAN CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4200
Mailing address
20333 W 151ST ST, OLATHE, KS 66061-7211
(913) 791-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05-46672
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004824960002
—
KS
Enumeration date
04/10/2018
Last updated
05/07/2024
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