Individual
KASSEM ASSAAD HAMMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160
(913) 588-6035
(913) 945-6916
Mailing address
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160
(913) 588-6035
(913) 945-6916
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
94-6078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-32825
MEDICAL LICENSE NUMBER
KS
Enumeration date
01/22/2007
Last updated
05/08/2014
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