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Individual

AILEEN C MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0735
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-21338
KS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
04-21338
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067025
MEDICARE PTAN
KS
05
100178190A
KS
Enumeration date
09/28/2006
Last updated
02/27/2023
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