Kenneth C. Mace is a Clinical in Columbia, Missouri. Kenneth C. Mace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth C. Mace is 1558375501. The last update date is 2007-07-08.
Kenneth C. Mace's current location address is 3040 W Wildflower Ct, Columbia, Missouri. You can contact this provider via phone number 5734429255 and fax number 5734429255. The mailing address for Kenneth C. Mace is 3040 W Wildflower Ct, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth C. Mace |
|---|---|
| Address | 3040 W Wildflower Ct, Columbia, Missouri |
| Phone Number | 5734429255 |
| Fax Number | 5734429255 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1558375501 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3040 W Wildflower Ct |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652039573 |
| Phone Number | 5734429255 |
| Fax Number | 5734429255 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00304 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13738 | MO | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth C. Mace by the Centers for Medicare & Medicaid Services?
The Kenneth C. Mace has been assigned the NPI (National Provider Identifier) 1558375501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth C. Mace is geographically located?
The Kenneth C. Mace is physically situated at the following location: 3040 W Wildflower Ct, Columbia, MO, 652039573.
What is Kenneth C. Mace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth C. Mace is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Kenneth C. Mace's 1558375501 issued?
The Kenneth C. Mace's 1558375501 was issued on 2006-07-27.
As of what date were the details pertaining to Kenneth C. Mace last refreshed?
The information related to the Kenneth C. Mace, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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