Individual
LOUIS R. DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4507
(620) 285-4509
Mailing address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4507
(620) 285-4509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
08-00311
KS
Other
Enumeration date
07/11/2007
Last updated
04/01/2010
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