Individual
DR. SHARON HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
174690
NY
208000000X
Pediatrics Physician
Primary
2010028273
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200677100A
—
KS
Enumeration date
07/10/2006
Last updated
07/29/2014
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