Individual
FEA KOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 FALL CREEK DR, BELTON, MO 64012-7807
(816) 217-1688
Mailing address
511 FALL CREEK DR, BELTON, MO 64012-7807
(816) 217-1688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024014460
MO
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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