Individual
JIMENA DEL PILAR UBILLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 WORNALL RD, KANSAS CITY, MO 64114-4359
(913) 499-5094
Mailing address
40 S 15TH ST, KANSAS CITY, KS 66102-5033
(913) 499-5094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03817
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K03-71-3760
LICENSE
KS
Enumeration date
05/28/2021
Last updated
05/28/2021
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