Individual
LUIS FELIPE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 W 15TH ST STE 102, LIBERAL, KS 67901-2455
(620) 417-7578
(680) 417-7577
Mailing address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
(620) 629-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82969
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82969
KANSAS STATE LICENSE
KS
Enumeration date
02/08/2021
Last updated
10/02/2024
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