Provider Demographics
NPI:1851310304
Name:BAPTIST, JEREMY EDUARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:EDUARD
Last Name:BAPTIST
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6806 W 83RD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3956
Mailing Address - Country:US
Mailing Address - Phone:913-469-4043
Mailing Address - Fax:913-469-6580
Practice Address - Street 1:6806 W 83RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3956
Practice Address - Country:US
Practice Address - Phone:913-469-4043
Practice Address - Fax:913-469-6580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0418338207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology