Individual
JENNIFER MARIE FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
520 E 63RD ST, KANSAS CITY, MO 64110-3330
(913) 829-5511
(913) 322-1676
Mailing address
21020 W 151ST ST, OLATHE, KS 66061-7200
(913) 829-5511
(913) 829-5571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2026012230
MO
Other
Enumeration date
03/18/2026
Last updated
04/15/2026
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