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Individual
KATHRYN WALENZ
Active
Individual
KATHRYN WALENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01486
KS
363AM0700X
Medical Physician Assistant
1697
NE
363AS0400X
Surgical Physician Assistant
Primary
15-01486
KS
363AS0400X
Surgical Physician Assistant
1697
NE
Other
Enumeration date
10/18/2011
Last updated
05/22/2013
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