Individual
WALTER I DUMORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 KS HIGHWAY 264, LARNED, KS 67550-5353
(620) 804-1035
Mailing address
1301 KS HIGHWAY 264, LARNED, KS 67550-5353
(620) 804-1035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800299
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800299
KANSAS LICENSE NUMBER
KS
Enumeration date
11/02/2007
Last updated
11/02/2007
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