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Individual
DR. GEORGE ATHEY JR.
Active
Individual
DR. GEORGE ATHEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
301
KS
103T00000X
Psychologist
Primary
301
KS
103TF0200X
Forensic Psychologist
301
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119657
BLUE SHIELD OF KS
KS
Enumeration date
08/29/2006
Last updated
06/21/2013
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