Individual
MS. MICHELLE SOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 922-2850
Mailing address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004017806
MO
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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