Individual
MRS. BHAVYA KOTHAPALLI C L
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14029 BARKLEY ST APT 607, OVERLAND PARK, KS 66223-3719
(816) 332-3181
Mailing address
14029 BARKLEY ST APT 607, OVERLAND PARK, KS 66223-3719
(816) 332-3181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018043614
MO
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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