Individual
PAMELA LYNN SIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
8901 W 74TH ST STE 380, SHAWNEE MISSION, KS 66204-2245
(913) 632-9870
(913) 632-9898
Mailing address
8901 W 74TH ST STE 380, SHAWNEE MISSION, KS 66204-2245
(913) 632-9870
(913) 632-9898
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
45752
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161599
BCBS KANSAS
KS
05
—
200365380A
—
KS
01
—
P00286008
RAILROAD MEDICARE
KS
Enumeration date
03/22/2006
Last updated
09/19/2014
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