Individual
DR. MICHELLE DE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3015, KANSAS CITY, KS 66160-8500
(913) 588-2000
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME103041
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
04-34294
KS
Other
Enumeration date
08/21/2007
Last updated
04/08/2015
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