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NPI Code Detail

MEDICARE: EMILY RENEA FOX

MEDICARE: EMILY RENEA FOX
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
1163W00000XRegistered Nurse13-105515-042KS
2367A00000XAdvanced Practice Midwife76296KS

General Provider Information

NPI Number : 1730503582
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RENEA FOX
Provider Business Mailing Address
First Line : 330 ARKANSAS ST
Second Line : SUITE 300
City : LAWRENCE
State : KS
Zip : 66044-1335
Country : US
Telephone Number : 785-832-1424
Fax Number : 785-832-1466
Provider Business Practice Location Address
First Line : 8919 PARALLEL PKWY STE 455
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-3628
Country : US
Telephone Number : 913-596-4929
Fax Number : 913-596-4982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 07/21/2022

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Directions to “ EMILY RENEA FOX ” Practice Location

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