Individual
DR. JASENTHU L. FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
923 CARROLL AVE, LARNED, KS 67550-2429
(620) 285-3161
Mailing address
923 CARROLL AVE, LARNED, KS 67550-2429
(620) 285-3161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0421683
KY
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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