Individual
JEANNINE M COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 W MYRTLE ST, SUITE 105, INDEPENDENCE, KS 67301-3242
(620) 332-5874
(620) 332-5877
Mailing address
900 W MYRTLE ST, SUITE 105, INDEPENDENCE, KS 67301-3242
(620) 332-5874
(620) 332-5877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23325
KS
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
04-23325
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023427
BCBS
KS
05
—
100132220A
—
KS
01
—
12149509
MULTIPLAN
KS
01
—
16883
COVENTRY
KS
01
—
200109
HPK
KS
01
—
2256
PHS
KS
Enumeration date
06/30/2006
Last updated
04/26/2013
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