Organization
JAY ENTERPRISE LLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM JAYASWAL MD (OWNER)
(913) 205-4305
Entity
Organization
Contact information
Practice address
8315 W 119TH TER, OVERLAND PARK, KS 66213-1225
(913) 205-4305
Mailing address
8315 W 119TH TER, OVERLAND PARK, KS 66213-1225
(913) 205-4305
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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