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NPI Code Detail

MEDICARE: KATHERINE LOUISE WALDEN APRN

MEDICARE: KATHERINE LOUISE WALDEN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner53-77274KS

General Provider Information

NPI Number : 1598219396
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE LOUISE WALDEN APRN
Provider Business Mailing Address
First Line : 9100 W 74TH ST
Second Line :
City : MERRIAM
State : KS
Zip : 66204-4004
Country : US
Telephone Number : 913-593-4808
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2016
Last Update Date : 12/19/2025

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