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Individual

DR. ANGELA KAREN MAYORGA MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 RAINBOW BLVD, MAIL STOP 4015, KANSAS CITY, KS 66160-0001
(913) 588-6412
(913) 588-6414
Mailing address
5620 LEGLER ST, SHAWNEE, KS 66217-9665
(913) 449-8343

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-31917
KS
2084P0800X
Psychiatry Physician
Primary
04-31917
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200383730A
KS
Enumeration date
07/11/2006
Last updated
12/21/2016
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