Individual
MRS. DEBORAH LEE SOBOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(164) 045-2718
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
079844
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200309000A
—
KS
01
—
23715049
BC/BS
MO
05
—
429742810
—
MO
Enumeration date
06/28/2006
Last updated
05/07/2020
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