Individual
MRS. NEENA M MUTHYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 922-5800
(816) 922-3179
Mailing address
4025 W 84TH ST, APARTMENT D, PRAIRIE VILLAGE, KS 66207-1902
(913) 548-0191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2007005064
MO
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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