Individual
JACLYN E.A. LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4121 W 83RD ST STE 254, PRAIRIE VILLAGE, KS 66208-5303
(913) 291-0076
(913) 951-0656
Mailing address
4121 W 83RD ST STE 254, PRAIRIE VILLAGE, KS 66208-5303
(913) 291-0076
(913) 951-0656
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0539323
KS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0539323
KS
Other
Enumeration date
06/21/2012
Last updated
07/18/2023
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