Individual
EDWINA PARRISH-LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
930 CARONDELET DR STE 201, KANSAS CITY, MO 64114-4698
(816) 943-7649
(816) 943-2165
Mailing address
1000 CARONDELET DR, PROVIDER ENROLLMENT MEDICAL STAFF OFFICE, KANSAS CITY, MO 64114-4673
(816) 943-7649
(816) 303-2484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2003000103
MO
363AS0400X
Surgical Physician Assistant
15-00860
KS
363AS0400X
Surgical Physician Assistant
Primary
2003000103
MO
Other
Enumeration date
02/02/2006
Last updated
02/01/2022
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