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NPI Code Detail

MEDICARE: SENAIT E GEBREAB PMHNP-BC

MEDICARE: SENAIT E GEBREAB PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5378763072KS
2163WP0808XPsychiatric/Mental Health Registered Nurse13109339072KS
3363LP0808XPsychiatric/Mental Health Nurse Practitioner2019015571MO

General Provider Information

NPI Number : 1861044737
Entity Type Code : Individual
Provider Name (Legal Business Name) : SENAIT E GEBREAB PMHNP-BC
Provider Business Mailing Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number : 816-922-1070
Provider Business Practice Location Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 02/13/2026

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1366824468 — SONIA KALIA PMHNP-BC
Practice Location Address:
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64130-2807
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Practice Fax: 816-923-3801

Directions to “ SENAIT E GEBREAB PMHNP-BC” Practice Location

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