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NPI Code Detail

MEDICARE: KATHERINE JEAN CATES PANAKOS DO

MEDICARE: KATHERINE JEAN CATES PANAKOS DO
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
1207Q00000XFamily Medicine Physician05-31483KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952323842
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE JEAN CATES PANAKOS DO
Provider Business Mailing Address
First Line : 606 N MULBERRY RD
Second Line :
City : DERBY
State : KS
Zip : 67037-3532
Country : US
Telephone Number : 316-788-3787
Fax Number :
Provider Business Practice Location Address
First Line : 606 N MULBERRY RD
Second Line :
City : DERBY
State : KS
Zip : 67037-3532
Country : US
Telephone Number : 316-788-3787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/22/2021

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Directions to “ KATHERINE JEAN CATES PANAKOS DO” Practice Location

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