Doctor Name: | DR. KATHRYN ANNE HAAS |
NPI Number: | 1154683761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 27502 |
Business Practice Address: | 550 Pope Ave Fort Leavenworth, KS - 660272332 |
Business Phone Number: | 9136846000 |
Business Fax Number: | |
Mailing Address: | 3009 Somerset Dr, LEAVENWORTH |
State: | KS |
Postal Code: | 660482925 |
Phone Number: | 4023063600 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2012 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |