Individual
LYDIA MUTTAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11661 COLLEGE BLVD, OVERLAND PARK, KS 66210-4107
(913) 432-8400
(913) 432-8402
Mailing address
11661 COLLEGE BLVD, OVERLAND PARK, KS 66210-4107
(913) 432-8400
(913) 432-8402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
76272
KS
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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