Provider Demographics
NPI:1073525119
Name:SEIM-SNYDER, KATHERINE S (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:S
Last Name:SEIM-SNYDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:S
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:2909 SW WALNUT DRIVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605
Mailing Address - Country:US
Mailing Address - Phone:785-267-0744
Mailing Address - Fax:785-266-3490
Practice Address - Street 1:2909 SW WALNUT DRIVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605
Practice Address - Country:US
Practice Address - Phone:785-267-0744
Practice Address - Fax:785-266-3490
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44575363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160023OtherMEDICARE PTAN
KS100305160AMedicaid
S45765Medicare UPIN