Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY L OLD, M.D.
ActiveJERRY L OLD, M.D. is a Hospice and Palliative Medicine (PM&R) healthcare provider located in LENEXA, Kansas. NPI 1285731752 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine (PM&R) · LENEXA, KS
Registration Details
- NPI Number
- 1285731752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2006 (19.719108925911 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
04-16260 (KS)04-16260 (KS)
Practice Information
- Address
-
15329 W 95TH STLENEXA, KS, 662191262Browse KS providers · Browse ZIP 66219
- Phone
- 9135991125
- Fax
- 9135993554
- Primary Specialty
-
Hospice and Palliative Medicine (PM&R)
2081H0002X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.