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General NPI Number Information
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NPI Number | 1982289955
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Entity Type | Individual
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Provider Name | ERICA P KEGLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1325 RESEARCH PARK DR
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City | MANHATTAN
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State | KS
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Zip | 66502-5000
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Country | US
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Telephone | 785-537-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 650 HUEBNER RD
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City | FORT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 13-93731-101
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 82828
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-93731-101
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License Number State | KS
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