Healthcare Provider Details

I. General information

NPI: 1275230377
Provider Name (Legal Business Name): KANSAS KLEIN BUCHER NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOMAN'S WAY SSB3
BATON ROUGE LA
70817
US

IV. Provider business mailing address

100 WOMANS WAY STE SSB3
BATON ROUGE LA
70817-5100
US

V. Phone/Fax

Practice location:
  • Phone: 225-928-2555
  • Fax:
Mailing address:
  • Phone: 225-928-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number229416
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: