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General NPI Number Information
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NPI Number | 1336547793
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Entity Type | Individual
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Provider Name | KATHERINE D EASLEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1133 W KANSAS ST
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City | LIBERTY
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State | MO
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Zip | 64068-2281
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Country | US
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Telephone | 816-781-7400
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Fax | 816-781-3315
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Provider Business Mailing Address
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Address Line | 5501 NW 62ND TER STE 100
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City | KANSAS CITY
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State | MO
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Zip | 64151-2412
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Country | US
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Telephone | 816-842-4440
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Fax | 816-842-1974
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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 | 53-76624-121
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License Number State | KS
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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 | 2022043258
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License Number State | MO
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