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1073554820
JACKIE WAYNE TENNEY
KANSAS CITY, MO
NPI
1073554820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MO R7F09)
Enumeration Date
2006-06-10
Last Update Date
2012-06-19
Business Address
Dr. JACKIE WAYNE TENNEY MD
6400 PROSPECT AVE SUITE 646
KANSAS CITY, MO 64132-1100
Phone number: 816-444-8400
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Mailing Address
Dr. JACKIE WAYNE TENNEY MD
6501 E 87TH ST
KANSAS CITY, MO 64138-2732
Phone number: 816-444-8400
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