Kottas, Kathleen A

Kottas, Kathleen A is an individual health care provider with primary practice located at 1309 Polk St , Great Bend KS 67530-3618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kottas, Kathleen A can be contacted via phone (620) 792-5341.

Contact Information

Primary practice address
1309 Polk St Great Bend KS 67530-3618
Phone: (620) 792-5341
Fax: (620) 792-3702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44789 Kansas

Profile Details

NPI number 1952302226
LBN Legal business name Kottas, Kathleen A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 23rd, 2012 - about 14 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 1952302226 NPPES
Kansas Other 044948 BLUE SHIELD
Kansas MEDICAID 100254730A BLUE SHIELD

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