Individual
JUANITTA OWUSU ABORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3027 PROSPECT AVE, KANSAS CITY, MO 64128-1530
(816) 861-6500
(816) 861-6503
Mailing address
3027 PROSPECT AVE, KANSAS CITY, MO 64128-1530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020034329
MO
363A00000X
Physician Assistant
55683
CA
363A00000X
Physician Assistant
6519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020034329
STATE LICENSE
MO
Enumeration date
12/16/2018
Last updated
10/14/2020
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