Individual
MR. DENNIS MADISON SANDERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4516 E 47TH ST, KANSAS CITY, MO 64130-2228
(816) 785-9707
Mailing address
4516 E 47TH ST, KANSAS CITY, MO 64130-2228
(816) 785-9707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012019090
MO
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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