Individual
IRWIN STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4320 WORNALL RD, SUITE 50-II, KANSAS CITY, MO 64111-5941
(816) 931-3312
(816) 531-9862
Mailing address
4320 WORNALL RD, SUITE 50-II, KANSAS CITY, MO 64111-5941
(816) 931-3312
(816) 531-9862
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
102536
MO
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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