Individual
LAITH HAMDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
110 E 40TH ST, KANSAS CITY, MO 64111-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025032669
MO
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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