Individual
KEENAN POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N LORRAINE ST, STE 202, HUTCHINSON, KS 67501-5670
(620) 663-7595
(620) 663-5263
Mailing address
1600 N LORRAINE ST, STE 202, HUTCHINSON, KS 67501-5670
(620) 663-7595
(620) 663-5263
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2789
KS
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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