Individual
BAMLAKU KEBEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3811 W 52ND ST, ROELAND PARK, KS 66205-1458
(913) 579-8556
Mailing address
977 E NEW LONDON DR, OLATHE, KS 66061-7117
(913) 232-3577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
470224
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YBC15K024376
—
KS
Enumeration date
03/22/2022
Last updated
03/22/2022
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