Individual
DEDRA RATHGEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1002 S 4TH ST, KIOWA, KS 67070-1825
(620) 825-4131
Mailing address
502 N MADISON AVE, ANTHONY, KS 67003-2234
(620) 517-0233
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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