Individual
LOUISANNE ROSKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 E 31ST ST, KANSAS CITY, MO 64128-1516
(816) 384-0700
Mailing address
8110 E 81ST ST, KANSAS CITY, MO 64138-1462
(816) 830-7816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009034506
MO
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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