-- K PAUL POULOSE --
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1942215462- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4101 S 4TH ST, LEAVENWORTH, KS, 660485014
- Phone
- (913) 682-2000
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Primary License: KS #Kansas16526
All Addresses
MAILING
1216 SANTA FE ST
LEAVENWORTH, KS, 660484200