Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 943 | KS |
NPI | 1023032109 |
---|---|
Provider Name | Dr. Daryl Kerry Richey |
First Address | Stilwell, KS 66085-9267 |
Second Address | Kansas City, MO 64128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |