Individual provider · Type 1 NPI

Mora Boatman

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1043158397 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 234-3000 Map

Mailing address

5497 Kedzie Ct
Columbia, MO 65203-2397

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043158397

Mora Boatman's National Provider Identifier is 1043158397, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Mar 24, 2026.