MR. Alan Wayne Thagard, LPN
NPI #1609857390 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1609857390
- Entity Type
- Individual
- Name
- MR. Alan Wayne Thagard, LPN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 550 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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