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 |
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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 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2014-01-16 |
Provider Mailing Address Detail
Address | 825 Euclid Ave |
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City | Kansas City |
State | Missouri (MO) |
Post Code | 641242323 |
Phone Number | 8168894614 |
Fax Number | 8168894847 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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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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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.