Individual
SOPHIA LYNN BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8144 NW PRAIRIE VIEW RD, KANSAS CITY, MO 64151-1020
(816) 505-3669
Mailing address
8144 NW PRAIRIE VIEW RD, KANSAS CITY, MO 64151-1020
(785) 393-1102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
10/04/2025
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