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315 W 15th St Liberal KS 67901-2455 | |
| (620) 629-6578 | |
| (620) 629-2472 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 315 W 15th St, Liberal, Kansas |
| Authorized Official Name and Position | William Ermann (CEO) |
| Authorized Official Contact | 6206296400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
315 W 15th Street Po Box 1340 Liberal KS 67905-1340 Ph: (620) 629-6758 | 315 W 15th St Liberal KS 67901-2455 Ph: (620) 629-6578 |
| NPI Number | 1376583997 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376583997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Kansas) | Primary |
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