Mansour, Kathleen Anne

Mansour, Kathleen Anne is an individual health care provider with primary practice located at 1513 E Union St , Greenville MS 38703-3249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mansour, Kathleen Anne can be contacted via phone (662) 378-9191.

Contact Information

Primary practice address
1513 E Union St Greenville MS 38703-3249
Fax: (662) 378-5353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16061 Mississippi

Profile Details

NPI number 1427094432
LBN Legal business name Mansour, Kathleen Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427094432 NPPES
Mississippi MEDICAID 0119870

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