Individual
RACHELLE BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2601 CENTRAL AVE, LL22, DODGE CITY, KS 67801-6200
(620) 255-9706
Mailing address
2601 CENTRAL AVE, LL22, DODGE CITY, KS 67801-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136521
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-84150-091
KS
Other
Enumeration date
04/15/2024
Last updated
12/05/2025
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