Individual
GODFREY MAIYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 W 36TH AVE, KANSAS CITY, KS 66103-2107
(913) 956-5620
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
13-113499-081
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
Enumeration date
05/30/2017
Last updated
05/30/2017
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