KATHLEEN D MAMMEN

KANSAS CITY, MO
NPI1114948627
Former NameKATHLEEN D KOPPENHAFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2005017142)
Enumeration Date2006-07-21
Last Update Date2014-01-16
Business Address
-- KATHLEEN D MAMMEN APRN FNP BC
825 EUCLID AVE
KANSAS CITY, MO 64124-2323
Phone number: 816-889-4614
Mailing Address
-- KATHLEEN D MAMMEN APRN FNP BC
825 EUCLID AVE
KANSAS CITY, MO 64124-2323
Phone number: 816-889-4614
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