NPI 1023760683

Anthony Kagua

Practitioner Assisted Living Facility Shawnee, KS

Practice location

Address: 11206 W 72nd Ter, Shawnee, KS 66203-4352
Phone: (617) 984-9477

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence B046060 (KS)

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Registry record

NPI: 1023760683
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2022
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.