Sander-Prather, Mandy M

Sander-Prather, Mandy M is an individual health care provider with primary practice located at 5721 W 119Th St , Overland Park KS 66209-3722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sander-Prather, Mandy M can be contacted via phone (816) 763-5446.

Contact Information

Primary practice address
5721 W 119Th St Overland Park KS 66209-3722
Phone: (816) 763-5446
Fax: (816) 763-8426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0431940 Kansas

Profile Details

NPI number 1285655415
LBN Legal business name Sander-Prather, Mandy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285655415 NPPES
Missouri MEDICAID 201371002
Missouri MEDICAID 200399740B

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