Individual
JORDAN LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107965
KS
363L00000X
Nurse Practitioner
Primary
76511
KS
Other
Enumeration date
08/06/2014
Last updated
08/26/2014
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