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Individual

JEFFREY M STATLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD # MS 2012, KANSAS CITY, KS 66160-8500
(913) 588-6970
(913) 588-0609
Mailing address
3901 RAINBOW BLVD # MS 2012, KANSAS CITY, KS 66160-8500
(913) 588-6970
(913) 588-0609

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
946507
KS
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
04-37076
KS
2084N0400X
Neurology Physician
259461
NY

Other

Enumeration date
04/20/2007
Last updated
04/28/2016
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