Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 04-24576 | KS |
Y | 208600000X | Surgeon | 04-24576 | KS |
N | 208200000X | Surgeon | 103803 | MO |
N | 208600000X | Surgeon | 103803 | MO |
NPI | 1003851403 |
---|---|
Provider Name | Dr. Amie Christina Jew |
First Address | Overland Park, KS 66211-1329 |
Second Address | Overland Park, KS 66211-1329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 25/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F62210 | (02) | KS |