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Charles Mooney
NPI 1508281544 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2513 Lazy Brook Ln
Lawrence, KS 66047 - Phone
- (785) 691-8645
- Fax
- (866) 358-7460
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas