Individual
ABIGAIL VILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15319 W 95TH ST, LENEXA, KS 66219-1262
(913) 538-0777
Mailing address
6822 N FLORA AVE, KANSAS CITY, MO 64118-2873
(636) 357-6889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
11/22/2024
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