Individual
KHOA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3514 JEFFERSON ST # ST307, KANSAS CITY, MO 64111-2803
(405) 408-0218
Mailing address
3514 JEFFERSON ST # ST307, KANSAS CITY, MO 64111-2803
(405) 408-0218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06193
KS
225100000X
Physical Therapist
2019014354
MO
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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