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Individual

KAITESI GILBERT BGOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
LARNED STATE HOSPITAL, 1301 KS-264, LARNED, KS 67550
(620) 285-2131
Mailing address
519 MAIN ST, LARNED, KS 67550-3053
(316) 768-0299

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
263784
KS

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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