Organization
LUIS S ALONZO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS S ALONZO MD (PRESIDENT)
(620) 728-1664
Entity
Organization
Contact information
Practice address
620 W 8TH STREET, C/O EDWARDS COUNTY HOSPITAL, KINSLEY, KS 67547-2329
(620) 659-3625
Mailing address
620 W 8TH STREET, C/O EDWARDS COUNTY HOSPITAL, KINSLEY, KS 67547-2329
(620) 659-3625
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111346
MEDICARE GROUP PTAN
KS
Enumeration date
11/07/2006
Last updated
01/03/2014
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