Provider Demographics
NPI:1043346018
Name:RIFFEL, JILL LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:LYNNE
Last Name:RIFFEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:LYNNE
Other - Last Name:YUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8800 W 75TH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2205
Mailing Address - Country:US
Mailing Address - Phone:913-384-5500
Mailing Address - Fax:913-384-5209
Practice Address - Street 1:8800 W 75TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2205
Practice Address - Country:US
Practice Address - Phone:913-384-5500
Practice Address - Fax:913-384-5209
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008013458208000000X
KS04-33334208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics