Individual
JEFFREY CAL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9411 N OAK TRFY STE 100, KANSAS CITY, MO 64155-2262
(816) 436-1800
(816) 436-4241
Mailing address
9411 N OAK TRFY STE 100, KANSAS CITY, MO 64155-2262
(816) 436-1800
(816) 436-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020026365
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
08/17/2020
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