Individual
MONICA LYANN APOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8675 COLLEGE BLVD, SUITE 200, OVERLAND PARK, KS 66210-1835
(913) 491-5501
(913) 491-8901
Mailing address
8675 COLLEGE BLVD, SUITE 200, OVERLAND PARK, KS 66210-1835
(913) 491-5501
(913) 491-8901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501177
KANSAS STATE LICENSE
KS
Enumeration date
11/13/2007
Last updated
11/13/2007
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