Basic Information
| Provider Information | |||||||||
| NPI: | 1487970935 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HALPIN | ||||||||
| FirstName: | JARED | ||||||||
| MiddleName: | SCOTT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2411 HOLMES ST | ||||||||
| Address2: | M2-302 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641082741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5732489764 | ||||||||
| FaxNumber: | 8169326104 | ||||||||
| Practice Location | |||||||||
| Address1: | 2411 HOLMES ST | ||||||||
| Address2: | M2-302 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641082741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8169322107 | ||||||||
| FaxNumber: | 8169326104 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2010 | ||||||||
| LastUpdateDate: | 08/05/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 2010021906 | MO | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.