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
Phone: (816) 676-0625
Fax: (816) 676-0627
Website:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851398713 | NPPES |
Oklahoma | MEDICAID | 200070690A | |
Oklahoma | MEDICAID | 283829231 | |
Oklahoma | MEDICAID | 135713003 |
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