Individual
FIRAS I. KAWTHARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W 15TH ST STE 101, LIBERAL, KS 67901
(620) 624-0732
(620) 624-2569
Mailing address
PO BOX 1215, LIBERAL, KS 67905-1215
(620) 624-6638
(620) 624-6684
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0440608
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440608
STATE LICENSE
KS
05
—
200761870A
—
OK
05
—
201194750A
—
KS
Enumeration date
05/19/2009
Last updated
05/15/2018
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