Provider Demographics
NPI:1700268349
Name:LYSAUGHT, KATHERINE ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:LYSAUGHT
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:KANSAS UNIVERISTY PHYSICIANS, INC.
Mailing Address - Street 2:3901 RAINBOW BLVD. 4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-2501
Mailing Address - Fax:913-588-3877
Practice Address - Street 1:DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
Practice Address - Street 2:3901 RAINBOW BLVD. 6040 DELP, MS 1020
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6005
Practice Address - Fax:913-588-3877
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
KS53-76826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily