Individual
DONNA LEIGH TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8012 STATE LINE RD STE 201, PRAIRIE VILLAGE, KS 66208-3715
(816) 265-1746
Mailing address
8012 STATE LINE RD STE 201, PRAIRIE VILLAGE, KS 66208-3715
(816) 265-1746
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
23-00005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-00005
ACUPUNCTURE LICENSE NUMBER
KS
Enumeration date
03/27/2018
Last updated
03/27/2018
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