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Individual
KATHLEEN ROXANNE MANNING
Active
Individual
KATHLEEN ROXANNE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3-002870
AL
363LG0600X
Gerontology Nurse Practitioner
3-002870
AL
Other
Enumeration date
03/16/2026
Last updated
07/15/2026
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