Healthcare Provider Details

I. General information

NPI: 1942794714
Provider Name (Legal Business Name): KARA SUE HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 SW 6TH AVE STE 1
TOPEKA KS
66606-1696
US

IV. Provider business mailing address

1516 SW 6TH AVE STE 1
TOPEKA KS
66606-1696
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-1005
  • Fax: 785-232-2564
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number77970
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: