Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 94-09169 | KS |
N | 207R00000X | Internist | 94-09169 | KS |
N | 111NI0900X | Internist | 94-09169 | KS |
NPI | 1013445071 |
---|---|
Provider Name | Malia Bree Downing |
First Address | Kansas City, KS 66160-8500 |
Second Address | Kansas City, KS 66160-8500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2017 |
Last Update Date | 18/03/2021 |