Individual
ALLISON MICHELLE BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
Mailing address
9506 E STAFFORD ST, WICHITA, KS 67207-6653
(316) 708-4524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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