Queeny Poulose is a Psychiatry in Leavenworth, Kansas. Queeny Poulose practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Queeny Poulose is 1851340707. The last update date is 2007-07-08.
Queeny Poulose's current location address is 4101 S 4th St, Leavenworth, Kansas. You can contact this provider via phone number 9136822000. The mailing address for Queeny Poulose is 4101 S 4th St, Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Queeny Poulose |
|---|---|
| Address | 4101 S 4th St, Leavenworth, Kansas |
| Phone Number | 9136822000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1851340707 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4101 S 4th St |
|---|---|
| City | Leavenworth |
| State | Kansas (KS) |
| Post Code | 660485014 |
| Phone Number | 9136822000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 17431 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code issued to Queeny Poulose by the Centers for Medicare & Medicaid Services?
The Queeny Poulose has been assigned the NPI (National Provider Identifier) 1851340707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Queeny Poulose?
The Queeny Poulose is situated at 4101 S 4Th St, in the city of Leavenworth, state of KS, with the zip code 660485014.
What is the Queeny Poulose's specialty and taxonomy code?
The Queeny Poulose's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did the Queeny Poulose receive its 1851340707?
The Queeny Poulose was issued its 1851340707 on 2006-05-09, which is the date when the organization was assigned this unique identifier.
When was the information regarding Queeny Poulose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Queeny Poulose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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