| Luis S Alonzo Md Pa | |
|
620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 | |
| (620) 659-3625 | |
| Not Available |
| Full Name | Luis S Alonzo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 620 W 8th Street, Kinsley, Kansas |
| Authorized Official Name and Position | Luis S Alonzo (PRESIDENT) |
| Authorized Official Contact | 6207281664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis S Alonzo Md Pa 620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 Ph: (620) 659-3625 | Luis S Alonzo Md Pa 620 W 8th Street C/o Edwards County Hospital Kinsley KS 67547-2329 Ph: (620) 659-3625 |
| NPI Number | 1336218742 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218742 | NPI | - | NPPES |
| 111346 | Other | KS | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0800245 (Kansas) | Primary |
Craft Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 869 L-road, Kinsley, KS 67547 Phone: 973-368-9600 |