Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0434886 | KS |
N | 207P00000X | Emergency Physician | 2011006592 | MO |
NPI | 1013176643 |
---|---|
Provider Name | Jesmin P. Ehlers |
First Address | Overland Park, KS 66201-0716 |
Second Address | Olathe, KS 66061-5350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 08/08/2011 |