IVAN MINNIS

LEAVENWORTH, KS
NPI1508255696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  65845)
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
IVAN MINNIS RN
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Mailing Address
IVAN MINNIS RN
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118