Kevin W Louderback HHP MHT PSYD PHD

NPI 1790982106 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1790982106
Gender Male
Enumeration Date 06/29/2007
Last Updated 06/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
918 SUNSHINE DR
MOUNT VERNON MO, 65712-1735, US
Phone (417) 366-0044
Fax
Business Location
918 SUNSHINE DR
MOUNT VERNON MO, 65712-1735, US
Phone (417) 366-0044
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Kevin W Louderback HHP MHT PSYD PHD NPI is 1790982106, taxonomy code is 171M00000X Kevin W Louderback HHP MHT PSYD PHD physically located at 918 Sunshine Dr, Mount Vernon MO, 65712-1735. NPI Number Kevin W Louderback HHP MHT PSYD PHD has the Individual type.

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1790982106 NPI number is provided on an as is basis without warranty of any kind. 1790982106 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin W Louderback HHP MHT PSYD PHD are for informational purposes only.