Provider Demographics
NPI:1083603948
Name:BUCHHOLZ, JANDA LEIGH (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:JANDA
Middle Name:LEIGH
Last Name:BUCHHOLZ
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:CHILDREN'S MERCY HOSPITAL AND CLINICS
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3290
Mailing Address - Fax:816-346-1378
Practice Address - Street 1:2401 GILLHAM RD.
Practice Address - Street 2:CHILDREN'S MERCY HOSPITAL AND CLINICS
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-234-3290
Practice Address - Fax:816-346-1378
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS