Individual
DR. STEPHANIE A IKEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7527 STATE AVE, KANSAS CITY, KS 66112-2815
(913) 335-6986
(855) 446-7151
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7120
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-41757
KS
207Q00000X
Family Medicine Physician
2016015924
MO
207Q00000X
Family Medicine Physician
OS015504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA5102009
MEDICARE
KS
01
—
MA8204011
MEDICARE
MO
Enumeration date
12/17/2008
Last updated
11/29/2021
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