IndividualActive
K Paul Poulose
NPI 1942215462 · Neurology Physician · Leavenworth, KS
Provider details
- NPI number
- 1942215462
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- KANSAS16526 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4101 S 4th St
Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1216 Santa Fe St
Leavenworth, KS 66048-4200
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.