Individual
KATHRYN LENORE RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600
(913) 588-9770
Mailing address
11300 CORPORATE AVE STE 330, LENEXA, KS 66219-1374
(913) 588-9202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-105660
KS
363LF0000X
Family Nurse Practitioner
Primary
53-78876
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-105660
LICENSE
KS
Enumeration date
05/28/2019
Last updated
07/24/2019
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