SearchKansas101YM0800X

Michael Countryman, MS

NPI 1407055924 · on the registry since 2007 · sole proprietor

Practice

Address
412 N Saint Nicholas St
Eureka, KS 67045
Phone
(620) 583-5543

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas