Individual
JENNIFER L OTHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2179
Mailing address
PO BOX 931168, KANSAS CITY, MO 64193-0001
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2005027490
MO
Other
Enumeration date
06/18/2006
Last updated
02/20/2008
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