NPI 1316402183

Michael Kilongson

Practitioner Private Vehicle Overland Park, KS

Practice location

Address: 12328 Craig St, Overland Park, KS 66213-1437
Phone: (512) 297-6083

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence K032907550 (KS)

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Registry record

NPI: 1316402183
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2019
Record last updated: 6 Feb 2019

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.