Individual provider · NPI-1

Dr. Antonette Consuelo Acosta-Dickson, MD

Family Medicine · Kansas City, MO

NPI number1487625232
StatusActive
Last updated in NPPESFeb 20, 2013

Details

NPI
1487625232
Entity type
Individual (NPI-1)
Name
Dr. Antonette Consuelo Acosta-Dickson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2006
Last updated
Feb 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2003017244MOYes

Other names

  • Antonete Consuelo Acosta (Former Name)

Practice location

6450 N Chatham Ave
Kansas City, MO 64151

Phone 816-741-5542 · Fax 816-746-4262

Mailing address

9411 N Oak Trfy
Suite Ll1
Kansas City, MO 64155-2262

Phone 816-436-7072 · Fax 816-436-2743

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