Individual
LIDIYA SARKISYANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 NW 63RD ST, KANSAS CITY, MO 64118-3096
(816) 739-4085
(816) 505-1735
Mailing address
1428 NW 63RD ST, KANSAS CITY, MO 64118-3096
(816) 739-4085
(816) 505-1735
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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