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NPI Code Detail

MEDICARE: KATHERINE LYNN FLANDERS N.P.

MEDICARE: KATHERINE LYNN FLANDERS N.P.
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 PractitionerCOA 04344-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972558435
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE LYNN FLANDERS N.P.
Provider Business Mailing Address
First Line : 1235 E ALEX BELL RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2658
Country : US
Telephone Number : 937-435-6400
Fax Number : 937-435-4793
Provider Business Practice Location Address
First Line : 1235 E ALEX BELL RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2658
Country : US
Telephone Number : 937-435-6400
Fax Number : 937-435-4793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 03/07/2023

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