Organization
MANNING FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J MANNING M.D. (OWNER)
(816) 356-2020
Entity
Organization
Contact information
Practice address
4240 BLUE RIDGE BLVD, SUITE 611, KANSAS CITY, MO 64133-1713
(816) 356-2020
(816) 356-2022
Mailing address
4240 BLUE RIDGE BLVD, SUITE 611, KANSAS CITY, MO 64133-1713
(816) 356-2020
(816) 356-2022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD112734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25584030
BCBS PROVIDER ID#
MO
Enumeration date
04/09/2007
Last updated
03/07/2023
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