Nathan Haverkamp

NPI #1336718105 in Leavenworth, Kansas

Provider Information

NPI Number: 1336718105
Entity Type: Individual
Name: Nathan Haverkamp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 24, 2021
Last Updated: Jun 24, 2021

Practice Location

Address: 3507 S 4TH ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-5013
Phone: (913) 682-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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