Individual
ERNEST KHACHATURYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
623 NE 93RD CT, KANSAS CITY, MO 64155-3323
(816) 456-8568
(816) 420-0798
Mailing address
623 NE 93RD CT, KANSAS CITY, MO 64155-3323
(816) 456-8568
(816) 420-0798
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LC0639066
MO
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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