Healthcare Provider Details

I. General information

NPI: 1649744202
Provider Name (Legal Business Name): RHANDI LEE REXROAT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 E THORPE ST
LAKIN KS
67860-9625
US

IV. Provider business mailing address

506 E THORPE ST
LAKIN KS
67860-9625
US

V. Phone/Fax

Practice location:
  • Phone: 620-355-7550
  • Fax: 620-355-7500
Mailing address:
  • Phone: 620-355-7550
  • Fax: 620-355-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number78381
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: