Individual
KATHIE STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 749-6162
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45645
KS
363LF0000X
Family Nurse Practitioner
53-45645-102
KS
Other
Enumeration date
08/16/2006
Last updated
11/07/2024
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