Individual
MEDA LUCY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 WOODS CHAPEL RD STE A, KANSAS CITY, MO 64139-1355
(816) 836-1096
(816) 521-4737
Mailing address
1843 NW 530TH RD, KINGSVILLE, MO 64061-8118
(816) 392-0267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020035582
MO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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