CODY JORGENSEN

LENEXA, KS
NPI1104280080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: MO  2016019445)
Additional Taxonomies208000000X Pediatrics
(Licence: KS  94-09093)
Enumeration Date2016-04-07
Last Update Date2016-08-10
Business Address
-- CODY JORGENSEN MD
7846 GARNETT ST
LENEXA, KS 66214-1417
Phone number: 785-633-9939
Mailing Address
-- CODY JORGENSEN MD
7846 GARNETT ST
LENEXA, KS 66214-1417
Phone number: 785-633-9939
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