Individual
AYALNESH G HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14626 GRANDVIEW ST, OVERLAND PARK, KS 66221-2217
(913) 284-5979
Mailing address
14626 GRANDVIEW ST, OVERLAND PARK, KS 66221-2217
(913) 284-5979
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-156851-021
KS
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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