Individual
JEAN NEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 BROADWAY ST, KANSAS CITY, MO 64108-1208
(816) 241-4331
Mailing address
635 W 69TH TER, KANSAS CITY, MO 64113-2058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001872
LICENSE #
MO
Enumeration date
08/21/2006
Last updated
07/08/2007
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