Individual
LIVAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
Mailing address
300 N MAIN ST APT 211, WICHITA, KS 67202-1628
(559) 936-8834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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