Individual
ELLIE KOBASHIGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5382223051
KS
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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