SearchKansas207PS0010X

Zachary Staples

NPI 1578278941 · on the registry since 2023 · sole proprietor

Practice

Address
4100 S 4th St
Leavenworth, KS 66048
Phone
(913) 758-6188
Clinicians at this address
34

Registry record

Primary taxonomy
207PS0010X
207PS0010X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-19

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