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NPI Profile for KENZIE S GANT in WAGNER, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1750001970 |
|
| Status | Active | |
| Credentials | DNP, FNP | |
| Entity | Individual | |
| Enumeration date | 08/29/2022 | |
| Last updated | 03/27/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENZIE S GANT
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KENZIE S GANT, DNP, FNP