Individual
ADESUWA LILLIAN OBASOGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2323 E 63RD ST, KANSAS CITY, MO 64130-3462
(816) 217-2076
Mailing address
2323 E 63RD ST, KANSAS CITY, MO 64130-3462
(816) 217-2076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2007024270
MO
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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