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NPI Code Detail

MEDICARE: TIMOTHY ALAN KAATMAN M.D.

MEDICARE: TIMOTHY ALAN KAATMAN 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
12084P0800XPsychiatry Physician036151741IL

General Provider Information

NPI Number : 1447613724
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ALAN KAATMAN M.D.
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-0001
Country : US
Telephone Number : 913-588-6400
Fax Number :
Provider Business Practice Location Address
First Line : 333 N MICHIGAN AVE STE 1400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-4011
Country : US
Telephone Number : 312-815-9660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2016
Last Update Date : 09/17/2020

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