Individual
MILADA MEDVEDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(180) 095-2838
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-30372
KS
Other
Enumeration date
06/22/2006
Last updated
11/30/2016
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