Individual
ASMA MUKADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-9000
Mailing address
17105 PARKHILL ST, OVERLAND PARK, KS 66221-2547
(913) 526-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-152087-102
KS
363LF0000X
Family Nurse Practitioner
Primary
53-81899-102
KS
Other
Enumeration date
12/14/2022
Last updated
01/31/2023
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