Individual
MR. CHERIAN GEORGE MALIPURATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN,FNP-BC, PTA
Contact information
Practice address
1707 E 59TH TER, KANSAS CITY, MO 64110-3549
(816) 523-6562
Mailing address
210 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(888) 256-3814
(888) 256-9054
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2004031658
MO
225200000X
Physical Therapy Assistant
2001024018
MO
225200000X
Physical Therapy Assistant
401
OK
363LF0000X
Family Nurse Practitioner
53-75922-092
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018012807
MO
Other
Enumeration date
10/19/2007
Last updated
04/08/2020
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