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General NPI Number Information
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NPI Number | 1699108522
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Entity Type | Individual
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Provider Name | RETTA WEBB KRITZER PA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 153 W 151ST ST SUITE 100
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City | OLATHE
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State | KS
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Zip | 66061-5348
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Country | US
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Telephone | 913-764-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 153 W 151ST ST SUITE 100
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City | OLATHE
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State | KS
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Zip | 66061-5348
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Country | US
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Telephone | 913-764-1125
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2013037124
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-01631
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License Number State | KS
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