Individual
KRISTINE MARIE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 LAKESHORE DR, AUGUSTA, KS 67010-2303
(316) 516-7950
Mailing address
2911 LAKESHORE DR, AUGUSTA, KS 67010-2303
(316) 516-7950
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
17-00941
KS
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-00941
KANSAS OCCUPATIONAL THERAPY LICENSE
KS
Enumeration date
03/27/2019
Last updated
09/22/2021
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