Healthcare Provider Details

I. General information

NPI: 1043561947
Provider Name (Legal Business Name): KAILEY A DRESSLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAILEY A MESLER

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 E MAIN ST
GARDNER KS
66030-1287
US

IV. Provider business mailing address

830 E MAIN ST
GARDNER KS
66030-1287
US

V. Phone/Fax

Practice location:
  • Phone: 913-856-4437
  • Fax: 913-856-4330
Mailing address:
  • Phone: 913-856-4437
  • Fax: 913-856-4330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-75767
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: