Individual
DR. ELIZABETH GOORLEY HERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6569
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004179A
IN
207Q00000X
Family Medicine Physician
IN02004179A
IN
Other
Enumeration date
06/30/2011
Last updated
12/18/2023
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