Individual
JON ROBERT HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6675 HOLMES RD STE 400&425, KANSAS CITY, MO 64131-1150
(816) 276-7410
(816) 276-7450
Mailing address
6675 HOLMES RD STE 400&425, KANSAS CITY, MO 64131-1150
(816) 276-7410
(816) 276-7450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018002356
MO
Other
Enumeration date
08/08/2008
Last updated
01/31/2022
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