Individual
DR. BENJAMIN RAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-3350
(785) 505-2874
Mailing address
2114 N 1000TH RD, EUDORA, KS 66025-9193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141628
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
78860
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004643160001
—
KS
Enumeration date
05/20/2019
Last updated
10/26/2023
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