Individual
KINSY JOE DEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1436 PIN OAK CIR, OTTAWA, KS 66067-3277
(913) 674-6345
Mailing address
1436 PIN OAK CIR, OTTAWA, KS 66067-3277
(913) 674-6345
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-83555-111
KS
Other
Enumeration date
09/16/2024
Last updated
02/10/2025
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