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Individual

DR. GRACE WISCO BAYSA-NG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 CLAY EDWARDS DR, SUITE 500, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4115
(816) 421-4152
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104146
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23727012
BCBS OF KANSAS CITY INDIV
MO
Enumeration date
01/23/2006
Last updated
07/30/2007
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