Individual
ANA LUISA KUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 SW 8TH ST, LEES SUMMIT, MO 64081-2620
(913) 375-8130
Mailing address
904 SW 8TH ST, LEES SUMMIT, MO 64081-2620
(913) 375-8130
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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