Individual
JODI VANGUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9405 N OAK TRFY, KANSAS CITY, MO 64155-2233
(816) 412-2900
Mailing address
13517 E 54TH TER, KANSAS CITY, MO 64133-7725
(316) 617-7334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018035811
MO
Other
Enumeration date
04/02/2015
Last updated
12/05/2018
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