Individual
AAKSHI PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5195 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4401
(785) 341-1183
Mailing address
5195 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4401
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
53-80033-111
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
2021006049
MO
Other
Enumeration date
08/30/2021
Last updated
01/15/2024
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