Individual
SARAH SOUTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 DIAMOND PKWY, NORTH KANSAS CITY, MO 64116-4328
(816) 561-3003
Mailing address
8415 N EASTERN AVE, KANSAS CITY, MO 64157-9575
(816) 786-8103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023010825
MO
Other
Enumeration date
05/18/2023
Last updated
05/09/2025
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