Individual
MOLLI JACKSON ITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.127109
IL
208000000X
Pediatrics Physician
04-37834
KS
208000000X
Pediatrics Physician
Primary
2015008262
MO
208M00000X
Hospitalist Physician
04-37834
KS
208M00000X
Hospitalist Physician
Primary
2015008262
MO
Other
Enumeration date
06/07/2011
Last updated
04/13/2026
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