Individual
EMMA ANN WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111
(816) 753-5144
(816) 753-0804
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
(816) 753-0804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019026090
MO
Other
Enumeration date
03/28/2019
Last updated
07/17/2019
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