Individual
KATELYN MARIE WAITS
Active
Individual
KATELYN MARIE WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021034995
MO
207Q00000X
Family Medicine Physician
53-80485-022
KS
207RI0008X
Hepatology Physician
2021034995
MO
207RI0008X
Hepatology Physician
Primary
53-80485-022
KS
Other
Enumeration date
03/01/2022
Last updated
11/14/2024
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