Individual
DEDRA RATHGEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-80168
KS
363LF0000X
Family Nurse Practitioner
TMP-160001
KS
Other
Enumeration date
04/22/2021
Last updated
04/26/2021
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