IndividualActive
Jaclyn Legg, D.O.
NPI 1558624890 · Child & Adolescent Psychiatry Physician · Prairie Village, KS
Provider details
- NPI number
- 1558624890
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 0539323 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4121 W 83rd St Ste 254
Prairie Village, KS 66208-5303
Phone: (913) 291-0076
Fax: (913) 951-0656
Approximate (ZIP-level) locationGet directions
Mailing address
4121 W 83rd St Ste 254
Prairie Village, KS 66208-5303
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2023-07-18
- Certified
- 2023-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.