Provider Demographics
NPI:1932780236
Name:KESINGER, KACI RENEE (RN)
Entity Type:Individual
Prefix:
First Name:KACI
Middle Name:RENEE
Last Name:KESINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KACI
Other - Middle Name:RENEE
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1162 N 100TH RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66006-7105
Mailing Address - Country:US
Mailing Address - Phone:785-615-9866
Mailing Address - Fax:
Practice Address - Street 1:1162 N 100TH RD
Practice Address - Street 2:
Practice Address - City:BALDWIN CITY
Practice Address - State:KS
Practice Address - Zip Code:66006-7105
Practice Address - Country:US
Practice Address - Phone:785-615-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS134989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse