Individual
AMATHA M. ELLIOTT-GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CYPRESS AVE, KANSAS CITY, MO 64124-2145
(816) 920-6084
Mailing address
6507 NW HILLDALE DR, KANSAS CITY, MO 64151-2328
(816) 920-6084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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