Individual
MRS. KACIE LYNN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(191) 368-2000
(913) 758-4111
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2347581051
KS
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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