Individual
DR. JENNIFER ANN GRONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7650
(816) 404-7612
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 285-6923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009013302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003094680
UNITEDHEALTHCARE
MO
05
—
1598978710
—
MO
01
—
26D2006074
CLIA
MO
Enumeration date
05/07/2007
Last updated
03/17/2018
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