Individual
MRS. KATHERINE EILEEN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2001023150
MO
363L00000X
Nurse Practitioner
53-45804
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
53-45804
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083693717
—
MO
05
—
200369320 A
—
KS
05
—
200369320B
—
KS
01
—
36824015
BCBS
—
05
—
427445804
—
MO
01
—
925853
FIRST GUARD MCO
—
Enumeration date
01/11/2006
Last updated
03/04/2022
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