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Individual

MARINA N HANNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 CAMBRIDGE ST STE 600, KANSAS CITY, KS 66160-8500
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-29982
KS
207RC0000X
Cardiovascular Disease Physician
2002002036
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103849
BCBS KS OUTREACH CLINICS
KS
05
200265440A
KS
05
200265440B
KS
05
208993105
MO
01
33949011
BCBS KC
MO
Enumeration date
08/10/2006
Last updated
12/11/2018
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