Individual
LINES MARIE VARGAS COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0438887
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2016010906
MO
Other
Enumeration date
09/04/2009
Last updated
02/05/2024
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