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Individual

KYLIE B HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
131 W MARKET ST STE B, OSAGE CITY, KS 66523-1099
(785) 528-3161
Mailing address
131 W MARKET ST STE B, OSAGE CITY, KS 66523-1099
(785) 528-3161

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76820
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002328
MEDICARE PTAN
KS
05
201118240A
KS
Enumeration date
08/27/2015
Last updated
08/01/2025
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