Individual
KATHLEEN KAY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
530 N RIDGE RD STE B, WICHITA, KS 67212-6576
(316) 616-1055
(855) 633-0585
Mailing address
PO BOX 929, CHICKASHA, OK 73023-0929
(405) 896-8058
(855) 223-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76198
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201089240A
—
KS
Enumeration date
11/14/2013
Last updated
02/18/2020
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