Individual
AMY L. DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 946-1580
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 946-1580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82930
KS
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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