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General NPI Number Information
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NPI Number | 1275860876
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Entity Type | Individual
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Provider Name | KRISTYN D MILBURN ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 11155 TUCKER RD
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City | PLEASANTON
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State | KS
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Zip | 66075-8401
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Country | US
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Telephone | 913-352-8379
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Fax | 913-352-8998
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Provider Business Mailing Address
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Address Line | 3011 N MICHIGAN ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2546
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Country | US
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Telephone | 620-231-9873
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 74956
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License Number State | KS
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