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MS. KRISTIN M BOLTZ ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1134182421

Individual Registrant:
MS. KRISTIN M BOLTZ ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3313B THRASHER RD  WHITE CLOUD, KS 66094-4028 US
Tel: 785-585-3450  Fax: 785-595-3493

Contact information for business:
2200 SW GAGE BLVD  TOPEKA, KS 66622-0001 US
Tel: 785-350-3111  Fax: 785-350-4701

Registration Information:
NPI: 1134182421
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
KS53-45497-031

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD161582KS01
200306850BKS05




HEALTH CARE JOBS KS - Page 1



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