Provider Information for 1871129841
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KATHY J TEATER
Sex: Female
NPI: 1871129841
Last Updated: 2020-03-21
Certification Date: 2020-03-21
Certification Date: 2020-03-21
Details
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NPI | 1871129841 | ||||||||
Enumeration Date | 2020-03-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 16004 GRANDVIEW ST OVERLAND PARK, KS 66085-7829 United States Phone: 913-221-3808 | Fax: | ||||||||
Primary Practice Address | 11011 KING ST STE 110 OVERLAND PARK, KS 66210-1230 United States Phone: 913-788-1027 | Fax:855-630-4850 | ||||||||
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