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NPI Code Detail

MEDICARE: VERLIN CONKLE

MEDICARE:   VERLIN  CONKLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1972OTHERKSBSRB LICENSE

General Provider Information

NPI Number : 1285450999
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERLIN CONKLE
Provider Business Mailing Address
First Line : 1519 MERCHANT ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-5005
Country : US
Telephone Number : 620-343-2211
Fax Number : 620-342-1021
Provider Business Practice Location Address
First Line : 1519 MERCHANT ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-5005
Country : US
Telephone Number : 620-343-2211
Fax Number : 620-342-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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Directions to “ VERLIN CONKLE ” Practice Location

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