Healthcare Provider Details

I. General information

NPI: 1033047717
Provider Name (Legal Business Name): DR. AYATT REZEK MUSLET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 BROADWAY BLVD STE 106
KANSAS CITY MO
64111-3395
US

IV. Provider business mailing address

4400 BROADWAY BLVD STE 106
KANSAS CITY MO
64111-3395
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-118094
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2025035153
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: