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MR. JEFFREY W PITTMAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NRCPT

Contact information

Practice address
4516 E 48TH ST, KANSAS CITY, MO 64130-2231
(816) 304-6845
Mailing address
4516 E 48TH ST, KANSAS CITY, MO 64130-2231
(816) 705-7308

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
136505
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/09/2019
Last updated
11/15/2020
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