Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 44981 | KS |
NPI | 1003882911 |
---|---|
Provider Name | Dorothy Ochs |
First Address | Hays, KS 67601-2281 |
Second Address | Hays, KS 67601-2281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 06/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100359780A | (05) | KS |
P09427 | (02) | KS |