TIMOTHY BADGER

TONGANOXIE, KS
NPI1316371198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: KS  53-76020-122)
Enumeration Date2013-08-28
Last Update Date2017-02-22
Business Address
-- TIMOTHY BADGER APRN
21107 DONAHOO RD
TONGANOXIE, KS 66086-4153
Phone number: 913-742-4084
Mailing Address
-- TIMOTHY BADGER APRN
21107 DONAHOO RD
TONGANOXIE, KS 66086-4153
Phone number: 913-742-4084