Kimari, Festus Mugo

Kimari, Festus Mugo is an individual health care provider with primary practice located at 16504 W 141St St , Olathe KS 66062-1940. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Kimari, Festus Mugo can be contacted via phone (913) 742-3646.

Contact Information

Primary practice address
16504 W 141St St Olathe KS 66062-1940
Fax: (913) 489-7116
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X K02-55-3358 Kansas

Profile Details

NPI number 1003380726
LBN Legal business name Kimari, Festus Mugo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Jan 15th, 2019 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1003380726 NPPES
Kansas MEDICAID 201194620A

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