Individual
DEBORAH PEAVLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSE
Contact information
Practice address
1106 N 155TH ST, SUITE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
1106 N 155TH ST, SUITE B, BASEHOR, KS 66007-7100
(913) 662-7071
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
48-128401
KS
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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