Individual
DR. TAMMY L HENNIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2401 GILLHAM RD, ATTN: GRADUATE MEDICAL EDUCATION, KANSAS CITY, MO 64108-4619
(816) 234-3490
Mailing address
2401 GILLHAM RD, ATTN: GRADUATE MEDICAL EDUCATION, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011021978
MO
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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