Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 04-41559 | KS |
NPI | 1285065888 |
---|---|
Provider Name | Lina Saadeh |
First Address | Kansas City, MO 64108-4619 |
Second Address | Wichita, KS 67208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2013 |
Last Update Date | 24/07/2019 |