Healthcare Provider Details

I. General information

NPI: 1639869829
Provider Name (Legal Business Name): KATHARINE ELAINE HRENCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 UTAH ST STE 200
HIAWATHA KS
66434-2314
US

IV. Provider business mailing address

300 UTAH ST
HIAWATHA KS
66434-2314
US

V. Phone/Fax

Practice location:
  • Phone: 785-742-2161
  • Fax: 785-742-6558
Mailing address:
  • Phone: 785-742-2131
  • Fax: 785-742-6558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-53893
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: