Individual
MINHANH KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 NE SAINT LUKES BLVD STE 350, LEES SUMMIT, MO 64086-6007
(816) 347-4717
(816) 347-7466
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017012410
MO
363LF0000X
Family Nurse Practitioner
77712
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017012410
FAMILY/INDIVIDUAL ACROSS THE LIFESPAN
MO
01
—
77712
STATE LICENSE
KS
Enumeration date
05/22/2017
Last updated
02/16/2022
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