Individual
ELIZABETH SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1127
(816) 404-1103
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-139348-111
KS
163W00000X
Registered Nurse
2012022500
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2019040755
MO
367500000X
Certified Registered Nurse Anesthetist
43557497111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73
—
KS
05
—
910045156
—
MO
Enumeration date
04/18/2017
Last updated
12/22/2020
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