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Individual

MRS. AMY CHRISTINE BAKKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
7301 W 133RD ST, SUITE 102, OVERLAND PARK, KS 66213-4750
(913) 888-4567
Mailing address
7301 W 133RD ST, SUITE 102, OVERLAND PARK, KS 66213-4750
(913) 888-4567

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-75550-122
KS

Other

Enumeration date
09/26/2008
Last updated
10/28/2013
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