Individual
KATELYN MARIE PERICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15235 W 172ND PL, OLATHE, KS 66062-7508
(913) 530-3241
Mailing address
15235 W 172ND PL, OLATHE, KS 66062-7508
(913) 530-3241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82133
KS
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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