Individual
DR. JAY D MCNITT
Active
Individual
DR. JAY D MCNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0428462
KS
207L00000X
Anesthesiology Physician
Primary
36673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063977
RR MEDICARE NUMBER
MO
05
—
100119180B
—
MO
05
—
100119180C
—
KS
01
—
13361021
BCBS NUMBER
KS
01
—
13661141
BCBS NUMBER
MO
05
—
202554507
—
MO
Enumeration date
05/04/2006
Last updated
10/02/2019
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