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Individual

DR. MANUEL NG CORTINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Mailing address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800209
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201070530A
KS
01
292A00017
MEDICARE PTAN
KS
01
292B00019
MEDICARE PTAN
KS
01
292C00017
MEDICARE PTAN
KS
Enumeration date
04/04/2007
Last updated
10/08/2014
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