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Individual

KENT D HAVERKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2909 SE WALNUT DR, TOPEKA, KS 66605-2189
(785) 267-0744
(785) 266-3490
Mailing address
2909 SE WALNUT DR, TOPEKA, KS 66605-2189
(785) 267-0744
(785) 266-3490

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-23550
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100143740B
KS
Enumeration date
08/08/2006
Last updated
05/01/2008
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