Sophia Lynn Breedlove, PA-C
Physician Assistant in Kansas City, MO. Individual provider (NPI-1).
NPI number1609755677
StatusActive
Last updated in NPPESOct 4, 2025
Details
- NPI
- 1609755677
- Entity type
- Individual (NPI-1)
- Name
- Sophia Lynn Breedlove
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2025
- Certification date
- Oct 4, 2025
- Last updated
- Oct 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
8144 Nw Prairie View RdKansas City, MO 64151-1020
Phone 816-505-3669
Mailing address
8144 Nw Prairie View RdKansas City, MO 64151-1020
Phone 785-393-1102
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All 153 Physician Assistant providers in Kansas City · All 16,914 providers in Kansas City
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