# MRS. KATHLEEN DANIELLE CUMMENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477903680
- **Gender:** F
- **Credential:** APRN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 096071 | OK | Yes |
| 163WC0200X | Critical Care Medicine Registered Nurse | 2016019945 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 2016034309 | MO | — |

## Other

- **Enumeration date:** 06/18/2016
- **Last updated:** 11/09/2020
