Individual
KIMBERLY KAY GOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, ARNP
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5070
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5070
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
75397
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002131
MEDICARE PTAN
KS
Enumeration date
06/27/2011
Last updated
08/30/2011
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