Individual
STEPHANIE RIEGER MOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-7743
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-7743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02708
KS
363A00000X
Physician Assistant
2022029878
MO
363AS0400X
Surgical Physician Assistant
Primary
15-02708
KS
Other
Enumeration date
01/28/2021
Last updated
01/24/2025
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