Individual
MAXWELL LANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4070
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2022030382
MO
Other
Enumeration date
01/28/2021
Last updated
09/14/2022
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