Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 20100005078 | MO |
NPI | 1043340854 |
---|---|
Provider Name | Jeffrey Aaron Krempec |
First Address | Independence, MO 64057-2303 |
Second Address | Kansas City, MO 64116-3274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 02/04/2018 |