Individual
GUILLERMO IBARRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-0500
(913) 677-5243
Mailing address
PO BOX 807, IOLA, KS 66749-0807
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-16249
KS
Other
Enumeration date
04/19/2006
Last updated
03/30/2017
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