Kifle, Marta Hailu
Kifle, Marta Hailu is an sole proprietor health care provider with primary practice located at 4429 S River Blvd , Independence MO 64055-4659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kifle, Marta Hailu can be contacted via phone (816) 768-0090.Contact Information
Primary practice address
4429 S River Blvd
Independence MO 64055-4659
Phone: (816) 768-0090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 53-81591-091 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2022035981 | Missouri |
Profile Details
| NPI number | 1891402350 |
|---|---|
| LBN Legal business name | Kifle, Marta Hailu |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2022 |
| Last updated | Jan 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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