Individual
HALLA S MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 N 75TH PL, SUITE 200, KANSAS CITY, KS 66112-2430
(913) 299-2100
(913) 299-4205
Mailing address
8929 PARALLEL PKWY, ATTN: PMG PHYSICIAN CREDENTIALING KATHLEEN, KANSAS CITY, KS 66112-1689
(913) 596-3893
(913) 299-4205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0425523
KS
Other
Enumeration date
02/24/2006
Last updated
04/08/2016
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