Doctor Name: | KATHRYN ANN HEINS-ERICKSON |
NPI Number: | 1861852469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.R.N. |
License Number: | 53-77025-122 |
Business Practice Address: | 409 Lincoln Ave Clay Center, KS - 674322907 |
Business Phone Number: | 7857772622 |
Business Fax Number: | 7857772623 |
Mailing Address: | 1024 Lane St, CLAY CENTER |
State: | KS |
Postal Code: | 674322211 |
Phone Number: | 7856326415 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 53-77025-122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |