Individual
DR. JEANNETTE A. DRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-6208
Mailing address
3901 RAINBOW BLVD, MS 2028, KANSAS CITY, KS 66160-0001
(913) 588-6208
(913) 588-0012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-20887
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R1F44
MO
208D00000X
General Practice Physician
0420887
KS
208D00000X
General Practice Physician
R1F44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32240017
BCBS KANSAS CITY
MO
01
—
449510
FIRSTGUARD
—
Enumeration date
04/03/2007
Last updated
09/11/2025
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