Individual
JEFFREY K CONROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0718
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-19527
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067009
MEDICARE PTAN
KS
05
—
100177940A
—
KS
Enumeration date
08/13/2006
Last updated
05/12/2014
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