Individual
STETSON KITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 S ROGERS RD, LOUISBURG, KS 66053-4041
(913) 980-5224
Mailing address
1104 S ROGERS RD, LOUISBURG, KS 66053-4041
(913) 980-5224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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