Kirstyn Brooke Latham
Registered Nurse in Great Bend, KS. Individual provider (NPI-1).
NPI number1114772001
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1114772001
- Entity type
- Individual (NPI-1)
- Name
- Kirstyn Brooke Latham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 160377 | KS | Yes |
Practice location
514 Cleveland StGreat Bend, KS 67530-3562
Phone 620-792-8833
Mailing address
514 Cleveland StGreat Bend, KS 67530-3562
Phone 620-792-8833
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