Individual
DR. JAY MATTHEW PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3097
(816) 346-1301
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3097
(816) 346-1301
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
04-22504
KS
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
R5E99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202178406
—
MO
Enumeration date
04/27/2006
Last updated
12/05/2025
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