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KRISTY PROVENCE, APRN, BSN, WCC
APRN, BSN, WCC
Family Nurse Practitioner
NPI: 1346018686IndividualAccepts Medicare
Specialties, Licenses & Credentials
Wound Care Registered Nurse
Registered Nurse — Wound Care
Code: 163WW0000X
116337(KS)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
53-82741-021(KS)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 15845 GARDNER WEST RD
GARDNER, KS 66030 - Phone
- (913) 207-5089
Quick Facts
- NPI
- 1346018686
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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