Provider Demographics
NPI:1316334360
Name:WATTS, JENNIFER KAY (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KAY
Last Name:WATTS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5884 W 58TH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-2706
Mailing Address - Country:US
Mailing Address - Phone:913-951-1919
Mailing Address - Fax:
Practice Address - Street 1:441 E 19TH ST STE 940
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1734
Practice Address - Country:US
Practice Address - Phone:425-200-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015011201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor