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Individual

KAWEIENTE MIKAYLA GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, OCS

Contact information

Practice address
8740 W 151ST ST, OVERLAND PARK, KS 66221-8705
(913) 942-5090
(913) 942-5095
Mailing address
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211-1285
(913) 588-1227

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043096
NY
225100000X
Physical Therapist
Primary
11-05439
KS
225100000X
Physical Therapist
2023027946
MO
225100000X
Physical Therapist
PTL.0014036
CO

Other

Enumeration date
06/08/2016
Last updated
10/26/2023
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