Provider Demographics
NPI:1043561947
Name:DRESSLER, KAILEY A (APRN)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:A
Last Name:DRESSLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:A
Other - Last Name:MESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:830 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1287
Mailing Address - Country:US
Mailing Address - Phone:913-856-4437
Mailing Address - Fax:913-856-4330
Practice Address - Street 1:830 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-1287
Practice Address - Country:US
Practice Address - Phone:913-856-4437
Practice Address - Fax:913-856-4330
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75767363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200969030AMedicaid
KS033D00080Medicare PIN