Individual provider · Type 1 NPI

Amity Brooke Mahoney, PA-C

Surgical Physician Assistant · Lees Summit, MO

NPI number 1831730241 Active

Practice location

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011

Mailing address

901 E 104th St
Kansas City, MO 64131-4517

Other practice locations

  • 600 NE Adams Dairy Pkwy Ste 160, Blue Springs, MO 64014-5496 · (816) 246-4302

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1831730241

Amity Brooke Mahoney, PA-C's National Provider Identifier is 1831730241, issued on Oct 7, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lees Summit, MO. The record was last updated on Jan 13, 2022.