Individual
DANA SOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8267
(913) 588-3840
(913) 588-3995
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3840
(913) 588-3995
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2022023822
MO
390200000X
Student in an Organized Health Care Education/Training Program
2022023822
MO
Other
Enumeration date
05/17/2022
Last updated
07/06/2023
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