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Individual

MARY KAY CUMMINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Mailing address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44328
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100353750A
KS
Enumeration date
05/24/2005
Last updated
10/29/2020
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