Individual
NICHOLAS MANNEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
711 W 38TH ST APT 1, KANSAS CITY, MO 64111-2950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023007521
MO
Other
Enumeration date
03/23/2020
Last updated
04/24/2025
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