Andrea Kristen Kidwell Ergas ARNP

NPI 1750689097 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1750689097
Gender Female
Enumeration Date 03/10/2011
Last Updated 03/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5416 W 65TH TER
MISSION KS, 66202-4311, US
Phone (808) 542-4292
Fax
Business Location
5416 W 65TH TER
MISSION KS, 66202-4311, US
Phone (808) 542-4292
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Kansas
License Number 53-75330-042
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According to our database, Mrs. Andrea Kristen Kidwell Ergas ARNP NPI is 1750689097, taxonomy code is 363LA2200X and license number is 53-75330-042, license state is located at Kansas. Andrea Kristen Kidwell Ergas ARNP physically located at 5416 W 65th Ter, Mission KS, 66202-4311. NPI Number Andrea Kristen Kidwell Ergas ARNP has the Individual type.

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1750689097 NPI number is provided on an as is basis without warranty of any kind. 1750689097 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Kristen Kidwell Ergas ARNP are for informational purposes only.