Individual
ETHAR KADHIM AL-HUSSEINAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-6627
Mailing address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-6627
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2016014174
MO
Other
Enumeration date
04/01/2016
Last updated
08/12/2016
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