Individual
RAUL LEYVA-MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7111
Mailing address
PO BOX 586, SYRACUSE, KS 67878-0586
(620) 384-8541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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