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General NPI Number Information
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NPI Number | 1962965764
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Entity Type | Individual
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Provider Name | KRISTY R. FLORES APRN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 313 S MARKET ST
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City | WICHITA
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State | KS
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Zip | 67202-3805
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Country | US
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Telephone | 316-265-9441
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Fax | 316-265-6066
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Provider Business Mailing Address
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Address Line | 313 S MARKET ST
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City | WICHITA
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State | KS
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Zip | 67202-3805
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Country | US
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Telephone | 316-265-9441
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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 | 53-78449-121
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License Number State | KS
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