DAKOTA BAIN

SHAWNEE, KS
NPI1932965738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-82761-042)
Enumeration Date2024-02-28
Last Update Date2024-02-28
Business Address
DAKOTA BAIN APRN
6028 LONGVIEW RD
SHAWNEE, KS 66218-9253
Phone number: 913-940-5195
Mailing Address
DAKOTA BAIN APRN
6028 LONGVIEW RD
SHAWNEE, KS 66218-9253
Phone number: 913-940-5195