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1912613928
KIMBERLEY DEAVER
WICHITA, KS
NPI
1912613928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 5381881021)
Enumeration Date
2023-01-24
Last Update Date
2023-12-06
Business Address
KIMBERLEY DEAVER APRN
9390 E CENTRAL AVE
WICHITA, KS 67206-2533
Phone number: 316-733-4747
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Mailing Address
KIMBERLEY DEAVER APRN
226 W ROSEWOOD LN
DERBY, KS 67037-3171
Phone number: 316-759-9492
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