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Individual

CONCILIA AMAONYE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2205 WEST 36 AV, KANSAS CITY, KS 66103
(816) 295-1826
Mailing address
1301 SW PEBBLE LN, LEES SUMMIT, MO 64082-4418
(816) 295-1826

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021033510
KS

Other

Enumeration date
06/25/2014
Last updated
04/05/2022
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