Individual
MR. MAYANK KAUSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 W 11TH ST, LARNED, KS 67550-1939
(620) 285-6914
Mailing address
511 MAIN ST, APT. 3, LARNED, KS 67550-3059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05490
KS
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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