Individual
DR. GERALD KEITH JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12504 CATALINA ST., LEAWOOD, KS 66209
(816) 210-6625
(816) 262-4393
Mailing address
12504 CATALINA ST., LEAWOOD, KS 66209
(816) 363-4100
(816) 363-4393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25021
KS
207R00000X
Internal Medicine Physician
R1D18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307310
—
KS
05
—
208461004
—
MO
Enumeration date
10/31/2005
Last updated
02/25/2016
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