Individual
DENNIS KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 W 15TH ST, LIBERAL, KS 67901-2448
(620) 624-3811
(620) 624-3186
Mailing address
PO BOX 1340, LIBERAL, KS 67905-1340
(620) 624-3811
(620) 624-3186
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0418880
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158840A
—
KS
Enumeration date
05/17/2006
Last updated
09/05/2024
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