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NPI Code Detail

MEDICARE: MRS. CORINNE CAROL KEHRBERG RN ARNP

MEDICARE: MRS. CORINNE CAROL KEHRBERG RN ARNP
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
1163W00000XRegistered Nurse1433388041KS
2163W00000XRegistered Nurse74516KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21433388041OTHERKSKANSAS STATE BOARD OF NURSING

General Provider Information

NPI Number : 1154305308
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORINNE CAROL KEHRBERG RN ARNP
Provider Business Mailing Address
First Line : 7570 W 21ST ST N
Second Line : SUITE 1026-D
City : WICHITA
State : KS
Zip : 67205-1734
Country : US
Telephone Number : 316-729-6555
Fax Number : 316-634-4794
Provider Business Practice Location Address
First Line : 7570 W 21ST ST N
Second Line : SUITE 1026-D
City : WICHITA
State : KS
Zip : 67205-1734
Country : US
Telephone Number : 316-729-6555
Fax Number : 316-634-4794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 03/07/2023

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