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General NPI Number Information
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NPI Number | 1154701456
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Entity Type | Individual
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Provider Name | CATHY MCKAY APRN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13101 STATELINE ROAD
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City | KANSAS CITY
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State | MO
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Zip | 64145
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Country | US
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Telephone | 816-942-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 14020 W 130TH TER
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City | OLATHE
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State | KS
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Zip | 66062-6232
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Country | US
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Telephone | 913-829-4019
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015009934
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76744-031
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License Number State | KS
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