Douglas, Kathy A

Douglas, Kathy A is an individual health care provider with primary practice located at 711 Genn Dr , Wamego KS 66547-1179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Douglas, Kathy A can be contacted via phone (785) 456-2295.

Contact Information

Primary practice address
711 Genn Dr Wamego KS 66547-1179
Fax: (785) 456-9467
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44166 Kansas

Profile Details

NPI number 1730172107
LBN Legal business name Douglas, Kathy A
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730172107 NPPES
Kansas Other 13-36365-071 REGISTERED NURSE
Kansas Other 44166 REGISTERED NURSE
Kansas MEDICAID 100280380E REGISTERED NURSE
Kansas Other 363LF0000X REGISTERED NURSE

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