AMANDA LE BOOTH MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1750763389- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 760 NW BLUE PARKWAY, LEE'S SUMMIT, MO, 640865713
- Phone
- (913) 297-7472
- Fax
- (816) 347-2657
Specialties & Taxonomies
Family Medicine
License: IN #11018226A
Family Medicine
License: KS #0441255
Family Medicine
Primary License: MO #2018024915