Individual
JAYNE LORA OPENA BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4801 S CLIFF AVE, SUITE 300, INDEPENDENCE, MO 64055-7015
(816) 251-5200
(816) 251-5299
Mailing address
901 E 104TH ST MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010023241
MO
208M00000X
Hospitalist Physician
04-36702
KS
208M00000X
Hospitalist Physician
2010023241
MO
Other
Enumeration date
08/07/2007
Last updated
01/19/2018
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