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General NPI Number Information
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NPI Number | 1902150543
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Entity Type | Individual
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Provider Name | KRISTIN B. YURTH CRNA, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 3904 BECK RD STE 150
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-5037
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Country | US
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Telephone | 816-279-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 308 W MAIN ST
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City | HIGHLAND
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State | KS
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Zip | 66035-4138
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Country | US
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Telephone | 816-262-5608
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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 | 53-83178-112
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2012032157
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License Number State | MO
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