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Individual

MRS. DEBRA J. BUCKLE MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P., P.M.H.N.P.

Contact information

Practice address
4013 N RIDGE RD STE 110, WICHITA, KS 67205-8859
(316) 201-6294
(316) 364-3020
Mailing address
2243 N HORSESHOE CIR, DERBY, KS 67037-8657
(816) 225-5387

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122215
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447412770
RH MEDICAID - NURSE PRACTITIONER
MO
05
1568416550
MO
05
428750509
MO
01
597780303
RH MEDICAID-NURSE PRACTIT
MO
Enumeration date
05/22/2006
Last updated
08/15/2024
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