SearchKansas104100000X

Lydia Chavez-Carrillo

NPI 1912452715 · on the registry since 2016

Practice

Address
2807 N Forest Park St
Derby, KS 67037
Phone
(316) 214-8006

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-22

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