Individual
VERRA L WEKULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19550 E 39TH ST S, SUITE 105 - B, INDEPENDENCE, MO 64057-2303
(816) 254-2552
(816) 833-4155
Mailing address
19550 E 39TH ST S, SUITE 105-B, INDEPENDENCE, MO 64057-2303
(816) 254-2552
(816) 833-4155
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2005028572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200277705
—
MO
05
—
200363160A
—
KS
Enumeration date
11/03/2005
Last updated
07/02/2008
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