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NPI 1235803271

NPI 1235803271 : KELSEY MARIE SCHIPPERS PHARMD : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1235803271
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    Entity Type          |    Individual 
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    Provider Name        |    KELSEY MARIE SCHIPPERS PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/03/2021
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    Last Update Date     |    08/03/2021
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Provider Practice Location Address
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    Address Line         |    3020 E DOUGLAS AVE 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67214-4818
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    Country              |    US
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    Telephone            |    316-681-6834
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5221 W 26TH CT N 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-1047
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    Country              |    US
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    Telephone            |    316-371-6045
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    1-103637
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    License Number State |    KS
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