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NPI Code Detail

MEDICARE: DR. KATHARINE M PUTMAN LP

MEDICARE: DR. KATHARINE M PUTMAN LP
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
1103TC0700XClinical Psychologist2022044418MO

General Provider Information

NPI Number : 1265975197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHARINE M PUTMAN LP
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 1300 E BRADFORD PKWY
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-4264
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2016
Last Update Date : 12/16/2025

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