NPI 1407212020

Koffi de Souza

Practitioner Driver Overland Park, KS

Practice location

Address: 9287 Nieman Rd, Overland Park, KS 66214-1807
Phone: (913) 937-6819

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 201122490B (KS)

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Registry record

NPI: 1407212020
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2016
Record last updated: 12 Jan 2016

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.