Provence, Kristy

Provence, Kristy is an sole proprietor health care provider with primary practice located at 15845 Gardner West Rd , Gardner KS 66030-9507. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Provence, Kristy can be contacted via phone (913) 207-5089.

Contact Information

Primary practice address
15845 Gardner West Rd Gardner KS 66030-9507
Phone: (913) 207-5089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 116337 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-82741-021 Kansas

Profile Details

NPI number 1346018686
LBN Legal business name Provence, Kristy
Credentials APRN, BSN, WCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2023
Last updated Apr 28th, 2024 - about last year

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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