Individual
HASSAN BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31170 W 166TH TER, GARDNER, KS 66030-7842
(913) 526-2744
Mailing address
31170 W 166TH TER, GARDNER, KS 66030-7842
(913) 526-2744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83166-022
KS
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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