Individual
JEFFREY WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1045, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, MAIL STOP 1045, KANSAS CITY, KS 66160-8500
(913) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-41370
KS
Other
Enumeration date
03/31/2016
Last updated
03/06/2019
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