Individual
DAKOTA BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6028 LONGVIEW RD, SHAWNEE, KS 66218-9253
(913) 940-5195
Mailing address
6028 LONGVIEW RD, SHAWNEE, KS 66218-9253
(913) 940-5195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-82761-042
KS
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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