Haile Abrha

Individual provider Active NPI Physician Assistant · Kansas City, MO

NPI 1730853367 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1730853367
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
843966
Kansas City, MO 64184-3966
Phone
(573) 884-3300
Fax
(573) 884-0943
NPI assigned
Aug 6, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

843966
Kansas City, MO 64184-3966

Mailing address

843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other providers in Kansas City, MO

All providers in Kansas City, MO · Physician Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.