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Individual

MS. KATHLEEN ANN MENGONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2850 STATE AVE, KANSAS CITY, KS 66102-4038
(913) 621-7073
(913) 233-1364
Mailing address
12900 GRANT ST, OVERLAND PARK, KS 66213-4649
(913) 449-7805

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12376
KS
183500000X
Pharmacist
2010028719
MO
183500000X
Pharmacist
4369
NM

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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