Individual
PETER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
1 MT CARMEL WAY, PITTSBURG, KS 66762-7587
(620) 231-6100
Mailing address
103 E LANYON ST, FRONTENAC, KS 66763-2428
(620) 820-3708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-108275-041
KS
363LF0000X
Family Nurse Practitioner
Primary
53-76045-041
KS
Other
Enumeration date
08/08/2013
Last updated
02/20/2014
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