# MARY MAGATHAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kid-Screen, L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013902840
- **Authorized official:** MS. MARY MAGATHAN BSN, RNC, ARNP, CCM (COORDINATOR)
- **Authorized official phone:** (620) 274-4280

## Contact information

- **Practice address:** 670 B, RD 170, CEDAR POINT, KS 66843
- **Practice address phone:** (620) 274-4280
- **Practice address fax:** (620) 274-4439
- **Mailing address:** 670 B, RD 170, CEDAR POINT, KS 66843
- **Mailing address phone:** (620) 274-4280
- **Mailing address fax:** (620) 274-4439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1326921-032 | KS | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 044923 | BCBS | — |
| 05 | — | 100246810A | — | KS |