Healthcare Provider Details

I. General information

NPI: 1164639084
Provider Name (Legal Business Name): KERRI DEANN KAUS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 MAPLE AVE
OAKLEY KS
67748-1220
US

IV. Provider business mailing address

1578 GILCHRIST ST
HOXIE KS
67740-4299
US

V. Phone/Fax

Practice location:
  • Phone: 785-672-3281
  • Fax: 785-672-8184
Mailing address:
  • Phone: 785-675-1454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: