Individual
SUSAN L. SPEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1133 COLLEGE AVE, MANHATTAN, KS 66502-2770
(785) 539-5363
(785) 539-5862
Mailing address
1133 COLLEGE AVE, MANHATTAN, KS 66502-2770
(785) 539-5363
(785) 539-5862
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0427159
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100348910A
—
KS
01
—
220026741
RR MEDICARE
KS
Enumeration date
07/18/2006
Last updated
03/06/2012
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