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General NPI Number Information
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NPI Number | 1588648695
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Entity Type | Individual
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Provider Name | KATHERINE ANN MICK RN ARNP LMLP
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1901 E 1ST ST
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City | NEWTON
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State | KS
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Zip | 67114
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Country | US
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Telephone | 316-284-6400
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Fax | 316-284-6491
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Provider Business Mailing Address
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Address Line | 1901 E 1ST ST
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City | NEWTON
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State | KS
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Zip | 67114
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Country | US
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Telephone | 316-284-6400
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Fax | 316-284-6491
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13-32105-041
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 74118
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1394
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License Number State | KS
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