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NPI Code Detail

MEDICARE: AUDREY E YAZELL PLPC

MEDICARE: AUDREY E YAZELL PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1023707734
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY E YAZELL PLPC
Provider Business Mailing Address
First Line : 2843 CAMPBELL ST APT 1
Second Line :
City : KANSAS CITY
State : MO
Zip : 64109-1149
Country : US
Telephone Number : 660-441-4647
Fax Number :
Provider Business Practice Location Address
First Line : 6300 N REVERE DR STE 270
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-3919
Country : US
Telephone Number : 660-441-4647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 05/08/2023

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