IndividualActive
Jason Fanselau, CNIM
NPI 1942654280 · Electroneurodiagnostic Specialist/Technologist · Kansas City, MO
Provider details
- NPI number
- 1942654280
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
128 W 13th St
Apt 1011
Kansas City, MO 64105-1726
Phone: (972) 489-6170
Approximate (ZIP-level) locationGet directions
Mailing address
128 W 13th St
Kansas City, MO 64105-1726
Registry dates
- Enumerated
- 2016-04-22
- Last updated
- 2016-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.