Individual
MARISE LOPES FERMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12200 W 106TH ST, OVERLAND PARK, KS 66215-2305
(913) 541-6022
Mailing address
12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215-2381
(913) 541-6022
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
2025027031
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
94-12312
KS
Other
Enumeration date
03/22/2025
Last updated
09/18/2025
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