Individual provider · Type 1 NPI

Jennifer L. Distasio, MD

Obstetrics & Gynecology Physician · North Kansas City, MO

NPI number 1396065447 Active

Practice location

2790 Clay Edwards Dr Ste 1200
North Kansas City, MO 64116-3253

Fax (816) 468-8531

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician Primary 207V00000X2010019752 (MO)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1396065447

Jennifer L. Distasio, MD's National Provider Identifier is 1396065447, issued on Jun 10, 2010. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in North Kansas City, MO. The record was last updated on Oct 19, 2017.