Individual
MARK DOUGLAS MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4330 WORNALL RD STE 50, KANSAS CITY, MO 64111-3201
(816) 931-3312
(816) 531-9862
Mailing address
PO BOX 7411931, CHICAGO, IL 60674-1931
(816) 931-3312
(816) 531-9862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15
KS
363A00000X
Physician Assistant
Primary
2009009267
MO
Other
Enumeration date
05/18/2006
Last updated
06/17/2025
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