Individual
DR. JAY D MCNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, ANESTHESIA DEPT, KANSAS CITY, MO 64111-3220
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
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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