KATIE DETMER
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1023741634- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3901 RAINBOW BLVD, KANSAS CITY, KS, 661608500
- Phone
- (913) 588-6820
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Primary License: KS #04-53231
Psychiatry & Neurology, Neurology
License: MO #2022025306