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General NPI Number Information
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NPI Number | 1639501844
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Entity Type | Individual
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Provider Name | KENDA MICHELLE HUSEBY DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 713 E OAK ST
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City | SUNDANCE
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State | WY
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Zip | 82729-5172
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Country | US
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Telephone | 307-283-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 713 E OAK ST
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City | SUNDANCE
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State | WY
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Zip | 82729-5172
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Country | US
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Telephone | 307-283-3501
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Fax | 307-283-3506
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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 | SD-CNP CP000804
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License Number State | SD
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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 | 1381
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License Number State | WY
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