Individual
MRS. KARLA MICHELLE DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-9200
(785) 240-9238
Mailing address
623 SOUTHWIND DRIVE, JUNCTION CITY, KS 66441-2750
(785) 240-9200
(785) 240-9238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
43310
KS
363LW0102X
Women's Health Nurse Practitioner
53-44310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160220
BC/BS PROVIDER NUMBER
KS
05
—
200641500B
—
KS
Enumeration date
09/21/2005
Last updated
04/11/2018
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