Individual
KRISTEN GRACE MACARAEG KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
958 N LAKEVIEW DR, DERBY, KS 67037-1844
(316) 250-1669
Mailing address
958 N LAKEVIEW DR, DERBY, KS 67037-1844
(316) 250-1669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117361
KS
163WC0200X
Critical Care Medicine Registered Nurse
117361
KS
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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