Individual
MICHELLE PARKER HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6516 SUMMIT ST, KANSAS CITY, MO 64113-1821
(816) 932-2171
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
D0058781
MD
207P00000X
Emergency Medicine Physician
Primary
2007016085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38931035
BCBS
—
Enumeration date
12/31/2006
Last updated
12/26/2007
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