Individual
KRISTIN KAY POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0497
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13-94813
KS
363L00000X
Nurse Practitioner
Primary
53-76049-021
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002230
MEDICARE PTAN
KS
05
—
201084080A
—
KS
Enumeration date
08/02/2013
Last updated
01/03/2014
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