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Search › Missouri › 103TC0700X

Jillon Vander Wal

NPI 1467669960 · on the registry since 2007

Practice

Address
4801 E Linwood Blvd
Kansas City, MO 64128
Phone
(816) 861-4700
Organisation at this address
Kcva
Kansas City Va
Kansas City Vamc
Kansas City Vamc
Kansas City Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,117

Additional practice sites

  • 10555 Marty St, Overland Park, KS

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TB0200X
103TB0200X
103TC0700X
103TH0100X
103TH0100X
Licence states on file
MO, KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri