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Individual

AMBER D DEWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5555 W 58TH ST, MISSION, KS 66202-2722
(913) 432-3780
(913) 432-8463
Mailing address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4564
(913) 299-3700
(913) 299-3050

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46269
KS

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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