Individual
KASSATIHUN GEBRE-AMLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1998
(913) 588-6670
Mailing address
14700 28TH AVE N, PLYMOUTH, MN 55447-4835
(763) 559-3779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-39390
KS
207L00000X
Anesthesiology Physician
Primary
67534
MN
Other
Enumeration date
04/25/2012
Last updated
07/11/2023
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