Provider Demographics
NPI:1780995720
Name:HOMAN, MICHELLE ANN (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:HOMAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5701 W 119TH ST STE 320
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3721
Mailing Address - Country:US
Mailing Address - Phone:913-253-3070
Mailing Address - Fax:913-345-4852
Practice Address - Street 1:3901 RAINBOW BLVD # MS 3007
Practice Address - Street 2:PULMONARY FELLOWSHIP
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-6046
Practice Address - Fax:913-588-4098
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
KS0536491207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease