Provider Demographics
NPI:1649597709
Name:FLORA, KATHRYN HOPE (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HOPE
Last Name:FLORA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-2000
Mailing Address - Country:US
Mailing Address - Phone:620-724-8291
Mailing Address - Fax:620-724-6332
Practice Address - Street 1:120 NW HIGHWAY 400
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:KS
Practice Address - Zip Code:66724
Practice Address - Country:US
Practice Address - Phone:620-457-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-77504-122163W00000X
KS46257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS46257OtherSTATE LICENSE (ARNP)
KS14-77504-122OtherSTATE LICENSE (RN LICENSE)