Provider Demographics
NPI:1306100326
Name:JABARA, CORY PAYTON (DO)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:PAYTON
Last Name:JABARA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8550 MARSHALL DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1505
Mailing Address - Country:US
Mailing Address - Phone:816-942-8200
Mailing Address - Fax:913-495-3760
Practice Address - Street 1:373 W 101ST TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4498
Practice Address - Country:US
Practice Address - Phone:816-942-8200
Practice Address - Fax:913-495-3760
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2023-03-03
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Provider Licenses
StateLicense IDTaxonomies
MO2015021163207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine