Kathy Bell X
Individual provider Active NPI Contractor · Mansfield, MO
NPI 1962818641 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1962818641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 46352771400 (MO)
- Practice address
- 113 Summit St
Mansfield, MO 65704-8196 - Phone
- (417) 664-3695
- Fax
- (417) 924-8112
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46352771400 | MO | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 46352771400 | MO | Yes |
Addresses
Primary practice location
113 Summit St
Mansfield, MO 65704-8196
Mailing address
113 Summit St
Mansfield, MO 65704-8196
Phone (417) 664-3695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46352771400 | Medicaid | MO |
Other providers in Mansfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.