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Organization

AMBER WATT

Active
Other names
Breathe
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER WATT (CEO)
(816) 960-3510
Entity
Organization

Contact information

Practice address
4050 BROADWAY ST, SUITE 220, KANSAS CITY, MO 64111-2615
(816) 960-3510
(866) 258-2170
Mailing address
4050 BROADWAY ST, SUITE 220, KANSAS CITY, MO 64111-2615
(816) 960-3510
(866) 258-2170

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2004025921
MO

Other

Enumeration date
12/28/2006
Last updated
09/19/2008
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