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Individual

MR. RYAN EMMITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1106 NORTH 155TH STREET STE B, BASEHOR, KS 66007
(913) 662-7071
Mailing address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/29/2017
Last updated
07/21/2022
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