Individual
SOL ALLAN ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3980 SOUTH JACKSON DR., INDEPENDENCE, MO 64057
(816) 795-1443
Mailing address
PO BOX 419380, DEPT. 235, KANSAS CITY, MO 64141-6380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004019500
MO
208M00000X
Hospitalist Physician
Primary
2004019500
MO
Other
Enumeration date
09/08/2005
Last updated
04/08/2019
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