MEDICARE: DR. KARA HEPPERMANN MAYES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2011012183	MO

General Provider Information

NPI Number	:	1205062759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARA HEPPERMANN MAYES M.D.

Provider Business Mailing Address
First Line	:	2093 PHILADELPHIA PIKE # 4289
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	866-933-3122
Fax Number	:	888-958-7819

Provider Business Practice Location Address
First Line	:	2093 PHILADELPHIA PIKE # 4289
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	866-933-3122
Fax Number	:	888-958-7819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	01/14/2026

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