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Active NPI 1073065504 Individual Practitioner Male Practitioner

Charles Edward Mahon , LPN

Licensed Practical Nurse • Lees Summit, MO

Professional Overview & Biography Verified Profile Summary

Charles Mahon, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Lees Summit, MO. Practice services are available at 901 NE INDEPENDENCE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 Ne Independence Ave

Lees Summit, MO 640865544

Telephone 8165815899
Fax 8163473046
Associated Practice Facility / Clinic
🏢 Rediscover Facility NPI 1841235298

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Lees Summit, MO (806 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MO 2016017975

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rachelle Renfro , LPN

Licensed Practical Nurse

NPI 1174052476

Licensed Practical Nurse

Georgia Severns , LPN

Licensed Practical Nurse

NPI 1972055291

Licensed Practical Nurse

Robin Hathaway , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1982153946

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 640865544 (Tel: 8165815899)

📍
Updated Business Mailing Address November 01, 2016

Registered at 1103 GRAND BLVD, KANSAS CITY, MO 641062404 (Tel: 9134240860)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as CHARLES MAHON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Licensed Practical Nurse (License #2016017975 in MO)

🟢
Initial NPI Registration & Enumeration November 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073065504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2016
Last Update: November 01, 2016
Sole Proprietor: Yes

Mailing Address

1103 Grand Blvd

Kansas City, MO 641062404

Phone: 9134240860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.