Individual
AMANDA BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2790 CLAY EDWARDS DR, STE 600, KANSAS CITY, MO 64116-3276
(816) 561-3003
(816) 889-1584
Mailing address
19550 E 39TH ST S, STE 410, INDEPENDENCE, MO 64057-2358
(816) 303-2400
(816) 889-1584
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2017003654
MO
363AS0400X
Surgical Physician Assistant
2017003654
MO
Other
Enumeration date
02/21/2017
Last updated
04/03/2018
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