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Individual
MRS. KATELYN ELIZABETH BAUER
Active
Individual
MRS. KATELYN ELIZABETH BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02285
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004783610001
—
KS
Enumeration date
05/28/2019
Last updated
11/30/2022
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