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Organization

MARY MAGATHAN

Active
Other names
Kid-Screen, L.C.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY MAGATHAN BSN, RNC, ARNP, CCM (COORDINATOR)
(620) 274-4280
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
044923
BCBS
05
100246810A
KS
Enumeration date
09/19/2005
Last updated
08/22/2008
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