Individual
SAMANTHA RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11010 HASKELL AVE, KANSAS CITY, KS 66109-8500
(816) 478-1230
Mailing address
7218 NIEMAN RD, SHAWNEE, KS 66203-4460
(316) 712-1647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2024019848
MO
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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