Individual
MICHAEL J SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
302 FLEMING ST STE 4, GARDEN CITY, KS 67846-6162
(620) 805-6939
(620) 805-6933
Mailing address
302 FLEMING ST STE 4, GARDEN CITY, KS 67846-6162
(620) 805-6939
(620) 805-6933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
46076
KS
Other
Enumeration date
07/30/2007
Last updated
07/21/2015
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