SearchKansas101YA0400X

Fred Gammon, T-LAC

NPI 1699192617 · on the registry since 2014

Practice

Address
6610 Se Quakervale Rd
Riverton, KS 66770
Phone
(620) 848-2300
Fax
(620) 848-2301
Organisation at this address
Family Life Center, Inc
Spring River Mental Health & Wellness, Inc.
Spring River Mental Health & Wellness, Inc.
Spring River Mental Health And Wellness, Inc
Spring River Mental Health And Wellness, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-27

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