Individual
MS. ELAINE HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12112 E 55TH ST, KANSAS CITY, MO 64133-3023
(816) 804-4005
Mailing address
12112 E 55TH ST, KANSAS CITY, MO 64133-3023
(816) 804-4005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2010000112
MO
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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