Provider Demographics
NPI:1043738008
Name:RAMIREZ, KATHY LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:LYNN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SILVER RAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-5034
Mailing Address - Country:US
Mailing Address - Phone:785-766-6379
Mailing Address - Fax:
Practice Address - Street 1:330 ARKANSAS ST STE 205
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1485
Practice Address - Country:US
Practice Address - Phone:785-505-5045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5377825122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily