Individual
DR. BILLY D MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1715 4TH AVENUE, DODGE CITY, KS 67801-3603
(620) 371-7900
Mailing address
1715 4TH AVE, DODGE CITY, KS 67801-3603
(620) 371-7900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012
LCPC
KS
01
—
119036
MEDICARE
KS
05
—
7586839901
—
KS
Enumeration date
09/21/2005
Last updated
04/21/2011
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