Individual
KATHY CLYDEAN ERICKSON
Active
Individual
KATHY CLYDEAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
065142
MO
363LG0600X
Gerontology Nurse Practitioner
065142
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427786421
—
MO
01
—
P00607932
MEDICARE RAILROAD
MO
Enumeration date
12/01/2005
Last updated
12/02/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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