Individual
KASIE GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Mailing address
315 POINT DR, GREAT BEND, KS 67530-9291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TMP-161237
KS
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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