Individual provider · NPI-1

Elijah Abdullah

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

NPI number1851857726
StatusActive
Last updated in NPPESFeb 15, 2019

Details

NPI
1851857726
Entity type
Individual (NPI-1)
Name
Elijah Abdullah
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 15, 2019
Last updated
Feb 15, 2019

Taxonomy and licenses

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

Practice location

2732 Brooklyn Ave
Kansas City, MO 64109-1320

Phone 816-572-2410

Mailing address

2732 Brooklyn Ave
Kansas City, MO 64109-1320

Phone 816-572-2410

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