Peck, Patricia R

Peck, Patricia R is an individual health care provider with primary practice located at 30937 S Indian Hills Rd , Osage City KS 66523-9089. She recently has only one registered license in Nursing Service Providers / Infusion Therapy, which is considered as her primary health care specialty. Peck, Patricia R can be contacted via phone (816) 820-7483.

Contact Information

Primary practice address
30937 S Indian Hills Rd Osage City KS 66523-9089
Phone: (816) 820-7483
Fax: (816) 956-0026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X 13-87587-052 Kansas

Profile Details

NPI number 1205426954
LBN Legal business name Peck, Patricia R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2021
Last updated Jan 26th, 2021 - about 3 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 1205426954 NPPES
Kansas Other A-070-004 HOME HEALTH AGENCY LICENSE

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