Individual
KIMBERLY WIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
Mailing address
9222 W RYAN CT, WICHITA, KS 67205-2164
(316) 650-6945
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
030263
KS
363L00000X
Nurse Practitioner
Primary
53-76358-121
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0714783
AANP-AMERICAN ACADEMY OF NURSE PRACTITIONERS
KS
05
—
PENDING
—
KS
Enumeration date
12/18/2014
Last updated
06/24/2015
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