Individual
MR. FESTUS MUGO KIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16504 W 141ST ST, OLATHE, KS 66062-1940
(913) 742-3646
(913) 489-7116
Mailing address
16504 W 141ST ST, OLATHE, KS 66062-1940
(913) 742-3646
(913) 489-7116
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K02-55-3358
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201194620A
—
KS
Enumeration date
01/15/2019
Last updated
01/15/2019
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