Individual
KIMBERLY KAY MONGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4101 S 4TH ST, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, LEAVENWORTH, KS 66048-5014
(913) 782-2000
(913) 758-4280
Mailing address
5909 N AMES AVE, KANSAS CITY, MO 64151-2293
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8334
MN
Other
Enumeration date
05/06/2007
Last updated
05/17/2013
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