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Organization
THE RAINBOW CLINIC, LLC
Active
Organization
THE RAINBOW CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ANN WALTERS MD (OWNER)
(585) 754-5949
Entity
Organization
Contact information
Practice address
313 N BROADWAY ST, PITTSBURG, KS 66762-4806
(620) 263-0487
(585) 299-9713
Mailing address
313 N BROADWAY ST, PITTSBURG, KS 66762-4806
(620) 263-0487
(585) 299-9713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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