NPI 1447087424

Boniface Makundi

Practitioner Driver Overland Park, KS

Practice location

Address: 15528 Foster St, Overland Park, KS 66223-2889
Phone: (913) 263-1443

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence K02-13-1553 (KS)

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Registry record

NPI: 1447087424
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 2024

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.