Individual
JENNIFER O. RIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004573
VA
363A00000X
Physician Assistant
Primary
15-01303
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C49000002
MEDICARE PTAN
KS
01
—
P00739993
MEDICARE RAILROAD
KS
Enumeration date
04/09/2009
Last updated
07/02/2026
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