Individual
DR. SUSANA D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACE
Contact information
Practice address
4321 WASHINGTON ST STE 6100, KANSAS CITY, MO 64111-5901
(816) 932-3470
(816) 932-3492
Mailing address
4321 WASHINGTON ST STE 6100, KANSAS CITY, MO 64111-5901
(816) 932-3470
(816) 932-3492
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2002018371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100448490A
—
KS
05
—
205882202
—
MO
Enumeration date
12/03/2007
Last updated
08/02/2021
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