Healthcare Provider Details
I. General information
NPI: 1598552416
Provider Name (Legal Business Name): HENRY ROTIMI SOLANKE
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2025
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date: 02/02/2026
Reactivation Date: 03/02/2026
III. Provider practice location address
7900 LEE'S SUMMIT RD.
KANSAS CITY MO
64139
US
IV. Provider business mailing address
7900 LEE'S SUMMIT RD.
KANSAS CITY MO
64139
US
V. Phone/Fax
- Phone: 816-404-7753
- Fax:
- Phone: 816-404-7753
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: