NPI 1750427761

Sonny Ezebulunwor Ideozu, MD

Practitioner Military Health Care Provider Kansas City, MO

Practice location

Address: 4801 E Linwood Blvd, Kansas City, MO 64128-2226
Phone: (816) 861-4700
Mailing address: 4768 Oak St APT 514, Kansas City, MO 64112-2265

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Missouri →

Registry record

NPI: 1750427761
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2007
Record last updated: 8 Jul 2007

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.