Individual
OMAR WEAM FARID ABDELAZIZ MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
20333 W 151TH ST., OLATHE, KS 66061
(913) 945-7483
Mailing address
3901 RAINBOW BLVD., KANSAS CITY, KS 66160
(913) 645-7483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
08/14/2025
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