Individual
MRS. KATHLEEN MARIE KUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 758-4146
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 758-4146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1999137665
MO
363LF0000X
Family Nurse Practitioner
Primary
53-46142-061
KS
Other
Enumeration date
02/08/2008
Last updated
01/20/2012
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