Individual
KATHERINE JEAN SOUTHALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1349 FOUNTAIN DR, OLATHE, KS 66061
(913) 829-4444
(913) 829-7180
Mailing address
1349 FOUNTAIN DR, OLATHE, KS 66061
(913) 829-4444
(913) 829-7180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0430873
KS
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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