Individual provider · NPI-1

Idialu Abhulimen

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number1376475863
StatusActive
Last updated in NPPESJun 1, 2026

Details

NPI
1376475863
Entity type
Individual (NPI-1)
Name
Idialu Abhulimen
Sole proprietor
Yes
Enumeration date
Jun 1, 2026
Certification date
Jun 1, 2026
Last updated
Jun 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1750 Independence Ave
Kansas City, MO 64106-1453

Phone 815-654-7000

Mailing address

1750 Independence Ave
Kansas City, MO 64106-1453

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