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NPI Code Detail

MEDICARE: MS. KAMI KATHLEEN ALBERS PA C

MEDICARE: MS. KAMI KATHLEEN ALBERS PA C
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
1363A00000XPhysician Assistant15-00956KS

General Provider Information

NPI Number : 1710987722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAMI KATHLEEN ALBERS PA C
Provider Business Mailing Address
First Line : 3215 CANTERBURY ST
Second Line : #7
City : MANHATTAN
State : KS
Zip : 66503-2176
Country : US
Telephone Number : 785-539-8758
Fax Number :
Provider Business Practice Location Address
First Line : 315 S SETH CHILD RD
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-3003
Country : US
Telephone Number : 785-776-2813
Fax Number : 785-776-2851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 07/08/2007

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