Basic Information
| Provider Information | |||||||||
| NPI: | 1275980641 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOBE | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | LINDSAY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 RAINBOW BLVD # MS 2027 | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135883974 | ||||||||
| FaxNumber: | 9135880593 | ||||||||
| Practice Location | |||||||||
| Address1: | 3901 RAINBOW BLVD # MS 3007 | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135886045 | ||||||||
| FaxNumber: | 9135880593 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2016 | ||||||||
| LastUpdateDate: | 07/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 94-08934 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 04-41850 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.