Individual
MS. MICHON D HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 458-3130
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 458-3130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006012204
MO
363AM0700X
Medical Physician Assistant
1501117
KS
Other
Enumeration date
08/12/2006
Last updated
07/29/2014
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