Individual
STEPHEN D JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3901 RAINBOW BLVD, 2032 SON-MAIL STOP 4043, KANSAS CITY, KS 66103-2937
(913) 522-4894
(713) 344-9420
Mailing address
PO BOX 307, STILWELL, KS 66085-0307
(913) 522-4894
(713) 344-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03056
KS
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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