Individual
DR. KAI MICHAEL EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6340 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 746-1171
Mailing address
2980 GILLHAM RD APT 410, KANSAS CITY, MO 64108-3162
(620) 200-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2019021954
MO
1223G0001X
General Practice Dentistry
Primary
61934
KS
Other
Enumeration date
06/21/2019
Last updated
08/17/2021
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