Individual
MR. JOHN WESLEY ZACKERY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 1/2 E 3RD AVE, HUTCHINSON, KS 67501-2267
(620) 474-2205
(620) 664-5158
Mailing address
700 1/2 E 3RD AVE, HUTCHINSON, KS 67501-2267
(620) 474-2205
(620) 664-5158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B000000X
—
KS
Enumeration date
05/27/2009
Last updated
05/27/2009
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