Individual
DR. KENNETH ROSS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 400, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4240
(816) 421-5015
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR8C71
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10278054
BCBS OF KC INDIVIDUAL #
—
01
—
110078052
RAILROAD MEDICARE
—
05
—
202339701
—
MO
Enumeration date
02/07/2006
Last updated
10/24/2007
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