Canterbury, Tamara K

Canterbury, Tamara K is an individual health care provider with primary practice located at 2537 Eisenhower Rd , Ottawa KS 66067-9482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Canterbury, Tamara K can be contacted via phone (785) 242-3780.

Contact Information

Primary practice address
2537 Eisenhower Rd Ottawa KS 66067-9482
Phone: (785) 242-3780
Fax: (785) 242-6397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APRN 53-74343-091 Kansas

Profile Details

NPI number 1255483772
LBN Legal business name Canterbury, Tamara K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255483772 NPPES
Kansas MEDICAID 200439780A
Kansas MEDICAID 200439780E

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