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Dr. James Keith Mann, M.D.

Pediatrics in Hannibal, MO. Individual provider (NPI-1).

NPI number1295989192
StatusActive
Last updated in NPPESNov 5, 2008

Details

NPI
1295989192
Entity type
Individual (NPI-1)
Name
Dr. James Keith Mann
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 5, 2008
Last updated
Nov 5, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsMDL 2001001576MOYes

Practice location

37 El Rancho Dr
Hannibal, MO 63401-6550

Phone 573-248-1265

Mailing address

37 El Rancho Dr
Hannibal, MO 63401-6550

Phone 573-248-1265

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Hannibal, MO

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