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Individual
KATHERINE ANN MICK
Active
Individual
KATHERINE ANN MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ARNP LMLP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1394
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13-32105-041
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
74118
KS
Other
Enumeration date
12/01/2005
Last updated
09/11/2025
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