Individual
DR. NATHANIEL RYAN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4291
(913) 791-4219
Mailing address
5800 FOXRIDGE DR, SUITE 240, MISSION, KS 66202-2347
(913) 261-3153
(913) 262-3295
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-33480
KS
2085R0202X
Diagnostic Radiology Physician
2008033559
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200611480B
—
KS
Enumeration date
01/18/2007
Last updated
05/25/2016
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