Individual
KEITH JUSTIN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, OFFICE OF GME, KANSAS CITY, MO 64108-4619
(816) 983-6486
(816) 983-6430
Mailing address
2401 GILLHAM RD, OFFICE OF GME, KANSAS CITY, MO 64108-4619
(816) 983-6486
(816) 983-6430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006009930
MO
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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