Individual
LAURA VINCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 WASHINGTON ST STE 6100, KANSAS CITY, MO 64111-5901
(816) 932-3470
(816) 932-3437
Mailing address
2417 S VISTA AVE, INDEPENDENCE, MO 64057-1398
(816) 442-0520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019027574
MO
Other
Enumeration date
03/28/2019
Last updated
12/31/2019
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