Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-42618 | KS |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2019033208 | MO |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD175467 | OR |
Y | 207YS0123X | Facial Plastic Surgeon | 04-42618 | KS |
N | 207YS0123X | Facial Plastic Surgeon | 2019033208 | MO |
NPI | 1255628848 |
---|---|
Provider Name | Dr. Jeffrey D Markey |
First Address | Lees Summit, MO 64064-2368 |
Second Address | Overland Park, KS 66223-2987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 29/03/2021 |