Ilboudo, Christelle Marlyse

Ilboudo, Christelle Marlyse is an individual health care provider with primary practice located at 2401 Gillham Rd Attn: Provider Enrollment Department, Kansas City MO 64108-4619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Ilboudo, Christelle Marlyse can be contacted via phone (816) 701-5200.

Contact Information

Primary practice address
2401 Gillham Rd Attn: Provider Enrollment Department Kansas City MO 64108-4619
Phone: (816) 701-5200
Fax: (816) 302-9939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 2012011809 Missouri

Profile Details

NPI number 1083849871
LBN Legal business name Ilboudo, Christelle Marlyse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2009
Last updated Nov 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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