Individual
MRS. ANGELA D BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 841-7779
Mailing address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 841-7779
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822559025
—
MO
Enumeration date
08/28/2017
Last updated
10/19/2017
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