Stephanie N Chura, PA-C
Physician Assistant, Medical in Kansas City, MO. Individual provider (NPI-1).
NPI number1275802191
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1275802191
- Entity type
- Individual (NPI-1)
- Name
- Stephanie N Chura
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2011
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2015041684 | MO | Yes |
| 363AM0700X | Physician Assistant, Medical | 15-01501 | KS |
Other names
- Stephanie N Dumolt (Former Name)
Practice location
4401 Wornall RdKansas City, MO 64111-3220
Phone 816-932-3300 · Fax 816-932-5793
Mailing address
901 E 104th StMailstop 400s
Kansas City, MO 64131
Phone 816-932-3300 · Fax 816-932-9670
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