Provider Information for 1467755017
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
GORDON F PFANNENSTIEL LPC
Sex: Male
NPI: 1467755017
Last Updated: 2013-03-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467755017 | ||||||||
| Enumeration Date | 2010-12-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5815 BROADWAY GREAT BEND, KS 67530-3123 United States Phone: 620-792-2544 | Fax:620-792-4323 | ||||||||
| Primary Practice Address | 5815 BROADWAY GREAT BEND, KS 67530-3123 United States Phone: 620-792-2544 | Fax:620-792-2544 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|