Individual
ELY MIGHT AURE TAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 STATE LINE RD, SUITE 380, LEAWOOD, KS 66206-1960
(913) 385-7252
(913) 385-2412
Mailing address
8900 STATE LINE RD, SUITE 380, LEAWOOD, KS 66206-1960
(913) 385-7252
(913) 385-2412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0433299
KS
2084P0800X
Psychiatry Physician
2008021987
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42278029
BCBS
—
Enumeration date
04/02/2007
Last updated
02/21/2012
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