Individual
SHIVANNA V KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 E SPRUCE ST, GARDEN CITY, KS 67846-5958
(620) 276-7689
(620) 276-6117
Mailing address
1111 E SPRUCE ST, GARDEN CITY, KS 67846-5958
(620) 276-7689
(620) 276-6117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420846
KS
Other
Enumeration date
09/21/2006
Last updated
11/19/2019
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