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Individual

KATHLEEN KATE SHANNEN T MALIWAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4607 S EASTLAND CENTER DR APT 426, INDEPENDENCE, MO 64055-7805
(808) 797-6099
Mailing address
4607 S EASTLAND CENTER DR APT 426, INDEPENDENCE, MO 64055-7805
(808) 797-6099

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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