Individual
JORGE A VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114
(816) 943-4758
(816) 943-4757
Mailing address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 943-4758
(816) 943-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-35968
KS
207R00000X
Internal Medicine Physician
Primary
2016043564
MO
208M00000X
Hospitalist Physician
04-35968
KS
208M00000X
Hospitalist Physician
2016043564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002408
MEDICARE PTAN
KS
Enumeration date
07/27/2009
Last updated
11/17/2025
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