Leith Abdeljaber

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Joplin, MO

NPI 1083590418 · NPPES record last updated Aug 12, 2025

Key facts

NPI
1083590418
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3001 Saint Johns Blvd
Joplin, MO 64804-1884
Phone
(417) 208-0805
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City University Current
since Aug 17, 2025
Accepting new patients

Locations

3001 Saint Johns Blvd
Joplin, MO 64804
Phone (417) 208-0805

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3001 Saint Johns Blvd
Joplin, MO 64804-1884

Mailing address

3001 Saint Johns Blvd
Joplin, MO 64804-1884
Phone (417) 208-0805

Other providers in Joplin, MO

All providers in Joplin, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.