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Individual

JANE COLLINS RAFTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
9408 WENONGA RD, LEAWOOD, KS 66206-2029
(913) 709-7731
Mailing address
PO BOX 56, GARDNER, KS 66030-0056
(913) 709-7731

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
13-101490-041
KS
163WI0500X
Infusion Therapy Registered Nurse
13-87587-052
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A-070-004
HOME HEALTH AGENCY LICENSE
KS
Enumeration date
08/24/2020
Last updated
09/23/2020
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