Individual
EDWARD AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119-4460
(816) 468-0400
Mailing address
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119-4460
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020041689
MO
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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