Individual
SARAH FORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
10033 WEDD DR, OVERLAND PARK, KS 66212-5427
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2011030338
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
53-46053-042
KS
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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