Provider Demographics
NPI:1386907293
Name:PACHOLEC, MARIE LYNN (DO)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:LYNN
Last Name:PACHOLEC
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3901 RAINBOW BLVD # MS 1028
Mailing Address - Street 2:KUMC INFECTIOUS DIS FELLOWSHIP
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-3891
Mailing Address - Fax:913-945-6916
Practice Address - Street 1:3901 RAINBOW BLVD # MS 1028
Practice Address - Street 2:3901 RAINBOW BLVD MS 1028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-3891
Practice Address - Fax:913-945-6916
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
KS9407962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine