Individual
SCOTT LYMAN SPACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1619
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135612
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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