Individual
KRIS ANTHONY HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1969 W 21ST ST N, WICHITA, KS 67203-2106
(316) 660-7750
(316) 660-7945
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1398244101
KS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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