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Individual

ELLEN EKUASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130
(816) 923-5800
Mailing address
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-2807
(816) 923-5800
(816) 922-1070

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2003010413
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2012016695
MO

Other

Enumeration date
06/18/2012
Last updated
04/24/2026
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