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General NPI Number Information
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NPI Number | 1578472338
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Entity Type | Individual
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Provider Name | KATELYN ELIZABETH HERRELL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 911 N MAIN ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5438
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Country | US
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Telephone | 620-276-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 PIONEER RD
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City | GARDEN CITY
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State | KS
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Zip | 67846-3854
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Country | US
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Telephone | 620-765-2889
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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 | 53-86137-011
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License Number State | KS
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