Individual
ERICA KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1664 SW 28TH ST, TOPEKA, KS 66611-1673
(785) 806-3973
Mailing address
1664 SW 28TH ST, TOPEKA, KS 66611-1673
(785) 806-3973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13109274012
KS
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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