Individual
GLORY I. CHUKWUSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6530 TROOST AVE STE A, KANSAS CITY, MO 64131-1301
(816) 361-0670
(816) 444-6936
Mailing address
6530 TROOST AVE STE A, KANSAS CITY, MO 64131-1301
(816) 361-0670
(816) 444-6936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019020223
MO
Other
Enumeration date
08/21/2019
Last updated
04/28/2021
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