Individual
ROOPA PATEL MOKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7144
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 965-1150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-120352-082
KS
163W00000X
Registered Nurse
2010023851
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018008498
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
78044
KS
Other
Enumeration date
06/09/2016
Last updated
05/22/2018
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