Individual
MRS. AMANDA LEIGH HAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N KEENE ST STE 306, COLUMBIA, MO 65201-8104
(573) 817-3165
(573) 884-2256
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023003249
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/08/2022
Last updated
02/02/2023
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