Individual
AMY E NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 WORNALL RD STE 50-II, KANSAS CITY, MO 64111-5941
(816) 931-3312
(816) 531-9862
Mailing address
4320 WORNALL RD STE 50, KANSAS CITY, MO 64111-5941
(816) 931-3312
(816) 531-9862
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2014005591
MO
Other
Enumeration date
03/01/2014
Last updated
04/17/2014
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