Individual
JEFFREY BRIAN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 COLLEGE BLVD, LEAWOOD, KS 66211-1628
(913) 491-3999
(913) 754-9309
Mailing address
4801 COLLEGE BLVD, LEAWOOD, KS 66211-1628
(913) 491-3999
(913) 754-9309
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0432910
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10825575
CAQH
KS
05
—
200543480A
—
KS
05
—
204610307
—
MO
Enumeration date
03/17/2006
Last updated
05/02/2008
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