Individual
AMITY BROOKE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6011
(816) 246-4302
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
01/13/2022
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