Luis S Alonzo Md Pa | |
620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 | |
(620) 659-3625 | |
Not Available |
Full Name | Luis S Alonzo Md Pa |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 620 W 8th Street, Kinsley, Kansas |
Authorized Official Name and Position | Luis S Alonzo (PRESIDENT) |
Authorized Official Contact | 6207281664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luis S Alonzo Md Pa 620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 Ph: (620) 659-3625 | Luis S Alonzo Md Pa 620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 Ph: (620) 659-3625 |
NPI Number | 1336218742 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 01/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336218742 | NPI | - | NPPES |
111346 | Other | KS | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0800245 (Kansas) | Primary |
Craft Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 869 L-road, Kinsley, KS 67547 Phone: 973-368-9600 |