Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 04-13268 | KS |
NPI | 1124220439 |
---|---|
Provider Name | Delmont C Hadley |
First Address | Overland Park, KS 66215-2264 |
Second Address | Overland Park, KS 66215-2264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |