IndividualActive
Jay Crockett, DO
NPI 1275577850 · Pediatric Radiology Physician · Kansas City, MO
Provider details
- NPI number
- 1275577850
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 05-39181 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Gillham Rd.
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.