Individual
MALIK BENKHADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
15210 GRAND SUMMIT BLVD APT 206, GRANDVIEW, MO 64030-2514
(816) 405-9753
Mailing address
15210 GRAND SUMMIT BLVD APT 206, GRANDVIEW, MO 64030-2514
(816) 405-9753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020004539
MO
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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