Basic Information
| Provider Information | |||||||||
| NPI: | 1386061430 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEYMOUR | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 6TH AVE STE 320 | ||||||||
| Address2: | |||||||||
| City: | LEAVENWORTH | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660483248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136516565 | ||||||||
| FaxNumber: | 9137728806 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 6TH AVE STE 320 | ||||||||
| Address2: | |||||||||
| City: | LEAVENWORTH | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660483248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136516565 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2017014163 | MO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 04-39976 | KS | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.