Lodder, Mikala Marie

Lodder, Mikala Marie is an individual health care provider with primary practice located at 8700 N Green Hills Rd , Kansas City MO 64154-1910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lodder, Mikala Marie can be contacted via phone (913) 574-2520.

Contact Information

Primary practice address
8700 N Green Hills Rd Kansas City MO 64154-1910
Phone: (913) 574-2520
Fax: (913) 574-2612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 53-77352-121 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2017016078 Missouri

Profile Details

NPI number 1811443070
LBN Legal business name Lodder, Mikala Marie
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811443070 NPPES
Kansas MEDICAID 201154160B
Kansas MEDICAID 1811443070

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