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NPI Code Detail

MEDICARE: MS. KERRY BETH MANNING RN

MEDICARE: MS. KERRY BETH MANNING RN
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse14-82403-041KS

General Provider Information

NPI Number : 1326100868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERRY BETH MANNING RN
Provider Business Mailing Address
First Line : 1156 COUNTY LINE RD APT 15
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2300
Country : US
Telephone Number : 913-328-4653
Fax Number : 913-328-4683
Provider Business Practice Location Address
First Line : 7840 WASHINGTON AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2152
Country : US
Telephone Number : 913-328-4653
Fax Number : 913-328-4683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/08/2007

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