Individual
CHERILYN M DESOUZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 S 4TH ST, LEAVENWORTH, KS 66048-4508
(913) 772-6030
(913) 651-7070
Mailing address
2201 S 4TH ST, LEAVENWORTH, KS 66048-4508
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-18000
KS
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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