Individual
DR. JEANNE E REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
373 W 101ST TER, KANSAS CITY, MO 64114-4408
(913) 438-2226
(913) 438-2227
Mailing address
PO BOX 14250, SHAWNEE MISSION, KS 66285-4250
(913) 438-2226
(913) 438-2227
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
13560
KS
2084N0600X
Clinical Neurophysiology Physician
Primary
R3610
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03398167
BLUE SHIELD
MO
Enumeration date
04/03/2006
Last updated
01/18/2008
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