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Individual

PATRICIA R PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
30937 S INDIAN HILLS RD, OSAGE CITY, KS 66523-9089
(816) 820-7483
(816) 956-0026
Mailing address
30937 S INDIAN HILLS RD, OSAGE CITY, KS 66523-9089
(816) 820-7483
(816) 956-0026

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
13-87587-052
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A-070-004
HOME HEALTH AGENCY LICENSE
KS
Enumeration date
01/26/2021
Last updated
01/26/2021
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