Basic Information
Provider Information
NPI: 1912127697
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALENDER-RICH
FirstName: JESSICA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: KANSAS UNIVERSITY OF PHYSICIANS INC
Address2: 3901 RAINBOW BLVD, MS 4017
City: KANSAS CITY
State: KS
PostalCode: 661600001
CountryCode: US
TelephoneNumber: 9135882500
FaxNumber:  
Practice Location
Address1: KU MEDICAL CENTER DIV OF GENERAL &
Address2: 3901 RAINBOW BLVD, MS 1020
City: KANSAS CITY
State: KS
PostalCode: 661600001
CountryCode: US
TelephoneNumber: 9135886005
FaxNumber: 9139453877
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 07/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300X04-33830KSY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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