Individual
JANELL S RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3100 BROADWAY BLVD STE 509, KANSAS CITY, MO 64111-2413
(816) 531-7373
(816) 531-1404
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01266
KS
363A00000X
Physician Assistant
Primary
2010002166
MO
Other
Enumeration date
01/18/2007
Last updated
08/13/2024
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