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Individual
KATHARINE M CONABLE
Active
Individual
KATHARINE M CONABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084722
HEALTH ALLIANCE
—
01
—
178246
HEALTHLINK
—
01
—
350033156
RAILROAD MEDICARE
—
01
—
3930
LICENSE #
MO
01
—
431260519
FEDERAL TAX ID
—
01
—
431260519CON
MERCY HEALTH PLAN
—
01
—
4582036
AETNA
—
01
—
5074
BLUE CROSS BS OF MO
—
01
—
54143
GROUP HEALTH PLAN
—
01
—
990001765
RR MEDICARE GROUP #
—
01
—
EMPIRE BLUE CROSS
10146X
—
Enumeration date
05/11/2006
Last updated
01/04/2016
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