| NPI | 1609118702 |
|---|---|
| Doing Business As | JKV PROVIDER SERVICES |
| Entity Type | Organization |
| Authorized Contact | RODNEY MCBRIDE VP Health & Resident Services 816-347-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2011034116) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |