| Jay Enterprise Llc | |
|
8315 W 119th Ter Overland Park KS 66213-1225 | |
| (913) 205-4305 | |
| Not Available |
| Full Name | Jay Enterprise Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8315 W 119th Ter, Overland Park, Kansas |
| Authorized Official Name and Position | Gautam Jayaswal (OWNER) |
| Authorized Official Contact | 9132054305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Enterprise Llc 8315 W 119th Ter Overland Park KS 66213-1225 Ph: (913) 205-4305 | Jay Enterprise Llc 8315 W 119th Ter Overland Park KS 66213-1225 Ph: (913) 205-4305 |
| NPI Number | 1730709023 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730709023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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