Mann, Kenneth E

Mann, Kenneth E is an individual health care provider with primary practice located at 3937 Sherman Ave , Saint Joseph MO 64506-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mann, Kenneth E can be contacted via phone (816) 676-0625.

Contact Information

Primary practice address
3937 Sherman Ave Saint Joseph MO 64506-3649
Fax: (816) 676-0627
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 115793 Missouri

Profile Details

NPI number 1851398713
LBN Legal business name Mann, Kenneth E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jun 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851398713 NPPES
Oklahoma MEDICAID 200070690A
Oklahoma MEDICAID 283829231
Oklahoma MEDICAID 135713003

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