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Individual

NATHAN JATCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12140 NALL AVE STE 300, OVERLAND PARK, KS 66209-2503
(816) 719-9185
Mailing address
19550 E 39TH ST S STE 310, INDEPENDENCE, MO 64057-2306

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/23/2026
Last updated
03/24/2026
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