Individual
JESSIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5525 W 119TH ST, SUITE 200, OVERLAND PARK, KS 66209-3724
(913) 491-4020
(913) 491-4725
Mailing address
5525 W 119TH ST, SUITE 200, OVERLAND PARK, KS 66209-3724
(913) 491-4020
(913) 491-4725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6427681
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389380A
—
KS
Enumeration date
02/02/2006
Last updated
04/18/2012
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