Individual
ANTHONY KAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11206 W 72ND TER, SHAWNEE, KS 66203-4352
(617) 984-9477
Mailing address
11206 W 72ND TER, SHAWNEE, KS 66203-4352
(617) 984-9477
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B046060
KS
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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