Basic Information
| Provider Information | |||||||||
| NPI: | 1700819943 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FLINT | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2401 GILLHAM ROAD | ||||||||
| Address2: | CHILDREN'S MERCY HOSPITALS AND CLINICS | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640814698 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162343041 | ||||||||
| FaxNumber: | 8164601074 | ||||||||
| Practice Location | |||||||||
| Address1: | 2401 GILLHAM ROAD | ||||||||
| Address2: | CHILDREN'S MERCY HOSPITALS AND CLINICS | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162343041 | ||||||||
| FaxNumber: | 8164601074 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 03/14/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2010013483 | MO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 2010013483 | MO | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0203X | 2010013483 | MO | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.