Individual
INA WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
920 MAIN ST, SUITE 300, KANSAS CITY, MO 64105-2017
(816) 559-6359
(816) 559-6368
Mailing address
920 MAIN ST, SUITE 300, KANSAS CITY, MO 64105-2017
(816) 559-6369
(816) 559-6368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2012035063
MO
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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