Individual
EMILY EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9504 W 162ND ST, OVERLAND PARK, KS 66085-9103
(913) 952-6002
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2021010819
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2019
Last updated
04/14/2021
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