Individual
KHYATI VIRMANI KAPUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4000
Mailing address
14752 FAIRWAY ST, LEAWOOD, KS 66224-4605
(816) 718-9530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011041741
MO
363AS0400X
Surgical Physician Assistant
C0002511
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220046217
—
MO
Enumeration date
06/09/2006
Last updated
05/01/2019
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