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General NPI Number Information
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NPI Number | 1609271709
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Entity Type | Individual
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Provider Name | KIM T LE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 6725 SW 29TH ST
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City | TOPEKA
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State | KS
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Zip | 66614-5625
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Country | US
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Telephone | 785-354-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W WASHINGTON ST
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City | KEARNEY
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State | MO
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Zip | 64060-8638
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Country | US
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Telephone | 816-635-2777
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Fax | 816-635-2712
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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 | 53-77112
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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 | 2014035618
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License Number State | MO
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