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Individual

STEPHANIE N CHURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3300
(816) 932-5793
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 932-3300
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01501
KS
363AM0700X
Medical Physician Assistant
Primary
2015041684
MO

Other

Enumeration date
12/21/2011
Last updated
10/13/2023
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