# KAITLYN JO MUSHRUSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568075695
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 01546 | KS | Yes |
| 103TC1900X | Counseling Psychologist | 3003 | KS | — |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 07/20/2026