Individual
CANDICE ELIZABETH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, 4023 WESCOE MAILSTOP 2024, KANSAS CITY, KS 66160-0001
(913) 588-6022
(913) 535-2101
Mailing address
3901 RAINBOW BLVD, 4023 WESCOE MAILSTOP 2024, KANSAS CITY, KS 66160-0001
(913) 588-6022
(913) 588-4060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-36466
KS
207R00000X
Internal Medicine Physician
9407020
KS
Other
Enumeration date
07/01/2008
Last updated
04/23/2019
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