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Individual

JINU THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19600 E 39TH ST., INDEPENDENCE, MO 64057-2301
(816) 698-7000
(478) 301-5825
Mailing address
10540 MARTY ST, SUITE 100, OVERLAND PARK, KS 66212-2560
(913) 660-1616
(913) 660-1664

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001837
GA
207R00000X
Internal Medicine Physician
Primary
2011032711
MO

Other

Enumeration date
11/09/2007
Last updated
11/07/2011
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