Individual
MICHAEL MAURICE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6412 E 87TH ST, KANSAS CITY, MO 64138-2773
(816) 923-1114
(816) 861-0071
Mailing address
6412 E 87TH ST, KANSAS CITY, MO 64138-2773
(816) 923-1114
(816) 861-0071
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551
—
MO
Enumeration date
02/25/2019
Last updated
02/25/2019
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