Individual
NATHAN HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3507 S 4TH ST, LEAVENWORTH, KS 66048-5013
(913) 682-1000
(913) 682-6131
Mailing address
3507 S 4TH ST, LEAVENWORTH, KS 66048-5013
(913) 682-1000
(913) 682-6131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61872
KS
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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