Organization
MANN RADIOLOGY PC
Active
Organization
MANN RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E MANN DO (OWNER)
(816) 676-0625
Entity
Organization
Contact information
Practice address
3937 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 676-0625
(816) 676-0627
Mailing address
3937 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 676-0625
(816) 676-0627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15793
MO
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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