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Individual

DESTE D BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP FNP-C

Contact information

Practice address
636 TAUROMEE AVE, KANSAS CITY, KS 66101-3042
(913) 321-2626
Mailing address
14091 S MULLEN ST, OLATHE, KS 66062-6131
(913) 201-9106

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019032025
MO
207Q00000X
Family Medicine Physician
53-78902-081
KS
363LF0000X
Family Nurse Practitioner
Primary
53-78902
KS

Other

Enumeration date
03/14/2019
Last updated
03/01/2024
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