Individual
MRS. AMANDA LEE HEVALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
723 E 18TH ST, KANSAS CITY, MO 64108-1511
(816) 283-3877
(816) 283-3310
Mailing address
723 E 18TH ST, KANSAS CITY, MO 64108-1511
(816) 283-3877
(816) 283-3310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010029909
MO
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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