Individual
JENNA MICHELLE KOEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217
(913) 588-1227
Mailing address
UNIV OF KS HOSPITAL 3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77218
KS
Other
Enumeration date
09/01/2016
Last updated
11/08/2023
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