Organization
HARVEY MARION COUNTY CDDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY PLENERT (ADMINISTRATIVE ASSISTANT)
(316) 283-7997
Entity
Organization
Contact information
Practice address
500 N MAIN ST, SUITE 206, NEWTON, KS 67114-2211
(316) 283-7997
(316) 283-7969
Mailing address
500 N MAIN ST, SUITE 206, NEWTON, KS 67114-2211
(316) 283-7997
(316) 283-7969
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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