Individual
MR. KURT WILLIAM VOLLERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 S PENN AVE, OBERLIN, KS 67749-2243
(785) 475-2285
(785) 470-2470
Mailing address
142 S PENN AVE, OBERLIN, KS 67749-2243
(785) 475-2285
(785) 470-2470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10195
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440200A
—
KS
05
—
100440200B
—
KS
Enumeration date
09/29/2006
Last updated
03/11/2013
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