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Individual

ELLEN KATHLEEN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
437 N CEDAR, KINGMAN, KS 67068-1324
(620) 532-3101
(620) 532-3427
Mailing address
437 N CEDAR, KINGMAN, KS 67068-1324
(620) 532-3101
(620) 532-3427

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44231
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100248380C
KS
Enumeration date
10/03/2005
Last updated
11/12/2010
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