Individual
BEYENE ABATE MANNISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
14111 W 138TH TER, OLATHE, KS 66062-5514
(913) 215-6320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-130307-091
KS
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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