Individual
KIRSTYN BROOKE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Mailing address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160377
KS
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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