Individual
CASEY POELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-31932
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200386760C
—
KS
Enumeration date
06/19/2006
Last updated
12/07/2018
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