Individual
MARY BETH MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 946-1514
Mailing address
1818 OLIVE ST, LEAVENWORTH, KS 66048-2153
(913) 240-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45330
KS
Other
Enumeration date
06/13/2006
Last updated
09/29/2014
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