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Contact Information

WILONDJA AMIMU
673 S KENTWOOD AVE
SPRINGFIELD, MO65802-3229
 Phone: 720-350-3109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WILONDJA AMIMU · (Male)

NPI Number 1316828809
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2025
Last updated 10/24/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 232002440073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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