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Individual

DR. KENNETH E MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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
(800) 354-1088
(314) 631-4491

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
115793
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135713003
AR
05
200070690A
OK
05
283829231
MO
Enumeration date
07/06/2005
Last updated
06/26/2008
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