Individual
JONATHAN R ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1225
(816) 404-3106
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-120650
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2012017786
MO
Other
Enumeration date
07/09/2008
Last updated
11/30/2020
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