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Individual

DR. ANCHANA MARIE DOMINIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 STATE HOSPITAL DR, OSAWATOMIE, KS 66064-1813
(913) 755-7019
(913) 755-7127
Mailing address
500 STATE HOSPITAL DR, OSAWATOMIE, KS 66064-1813
(137) 557-0199
(913) 755-7127

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0450197
KS
2084P0800X
Psychiatry Physician
2018021804
MO
2084P0800X
Psychiatry Physician
25IA12604300
NJ

Other

Enumeration date
06/22/2018
Last updated
05/05/2026
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