Individual
MS. KEITHA EVA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-8171
(620) 624-0114
Mailing address
333 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-8171
(620) 624-0114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2874
KS
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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