Individual
MS. ANITA MARY LOUISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
(816) 922-7637
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
(816) 922-7637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102438
MO
Other
Enumeration date
07/21/2005
Last updated
12/03/2013
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