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General NPI Number Information
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NPI Number | 1376554337
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Entity Type | Individual
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Provider Name | KATHRYN RYAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 205 W RD MIZE RD SUITE 304
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-2515
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Country | US
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Telephone | 816-228-4770
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Fax | 816-228-1156
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Provider Business Mailing Address
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Address Line | PO BOX 8035
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City | WICHITA
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State | KS
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Zip | 67208-0035
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Country | US
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Telephone | 316-689-9135
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Fax | 316-689-9102
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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 | 74749
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License Number State | KS
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