Individual
MICHAEL C. MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 763-5446
(816) 763-8426
Mailing address
10301 HICKMAN MILLS DR, 100, KANSAS CITY, MO 64137-1674
(816) 763-5446
(816) 763-8426
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
05-19187
KS
207L00000X
Anesthesiology Physician
Primary
R7A45
MO
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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