Individual
BONIFACE MAKUNDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15528 FOSTER ST, OVERLAND PARK, KS 66223-2889
(913) 263-1443
Mailing address
15528 FOSTER ST, OVERLAND PARK, KS 66223-2889
(913) 263-1443
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K02-13-1553
KS
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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