Kathleen D Mammen in Kansas City - Family

Kathleen D Mammen - NPI 1114948627

Kathleen D Mammen is a Family in Kansas City, Missouri. Kathleen D Mammen practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen D Mammen is 1114948627. The last update date is 2014-01-16.

Kathleen D Mammen's current location address is 825 Euclid Ave, Kansas City, Missouri. You can contact this provider via phone number 8168894614 and fax number 8168894847. The mailing address for Kathleen D Mammen is 825 Euclid Ave, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen D Mammen
Address 825 Euclid Ave, Kansas City, Missouri
Phone Number 8168894614
Fax Number 8168894847
Sole Proprietor N
Credentials APRN FNP B

NPI Number Detail

NPI Number 1114948627
Provider Enumeration Date 2006-07-21
Last Updated Date 2014-01-16

Provider Mailing Address Detail

Address 825 Euclid Ave
City Kansas City
State Missouri (MO)
Post Code 641242323
Phone Number 8168894614
Fax Number 8168894847

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 2005017142
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3046869 00 FL --
421441304 MO --
C16E724 MO MEDICARE B WHEATLANDS

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FAQs about Kathleen D Mammen

What is the Kathleen D Mammen's unique identification number?

The Kathleen D Mammen has been assigned the NPI (National Provider Identifier) Number 1114948627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kathleen D Mammen?

The Kathleen D Mammen is physically situated at 825 Euclid Ave, in the city of Kansas City, state of MO, with the postal code 641242323.

What is the Kathleen D Mammen's area of specialization and corresponding taxonomy classification?

The Kathleen D Mammen's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1114948627 to Kathleen D Mammen?

The Centers for Medicare & Medicaid Services assigned the 1114948627 to Kathleen D Mammen on 2006-07-21.

When was the information regarding Kathleen D Mammen most recently updated?

The details pertaining to the Kathleen D Mammen, including its address, specialty, and other relevant information, were last refreshed on 2014-01-16.

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