Individual
BENJAMIN LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7116 GRAND AVE, KANSAS CITY, MO 64114-1427
(641) 680-2662
Mailing address
7116 GRAND AVE, KANSAS CITY, MO 64114-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04441
KS
225100000X
Physical Therapist
2012025716
MO
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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