person
Kelly Marie Derganc, ARNP
Adult Health Nurse Practitioner in Joplin, Missouri
NPI 1881900058

Kelly Marie Derganc is an Adult Health Nurse Practitioner based in Topeka, MO and is specialized in Adult Health. Kelly Marie Derganc practices in Joplin, MO and has the professional credentials of ARNP. The NPI Number for Kelly Marie Derganc is 1881900058 and holds a License No. 141458 (Missouri).

The current practice location address for Kelly Marie Derganc is 100 Mercy Way, Joplin, MO and can be reached out via phone at 417-556-2727 and via fax at 785-357-6589.

Location: 100 Mercy Way, Joplin, MO, 66606-1677
person
Provider Profile Details
NPI Number
1881900058
Provider Name
Kelly Marie Derganc
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
100 Mercy Way, Joplin, MO, 66606-1677
Phone Number
417-556-2727
Fax Number
785-357-6589
Provider Enumeration Date
08/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068002116 01 KS MEDICARE PTAN
200674390B 05 KS
institution
Provider Business Practice Location Address Details
Address
100 Mercy Way
City
State
Zip
64804-4524
Phone Number
417-556-2727
Fax Number
785-357-6589
person
Provider Business Mailing Address Details
Address
100 Mercy Way
City
State
Zip
64804-4524
Phone Number
417-556-2727
Fax Number
785-357-6589
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
141458 (Kansas)
Definition
Definition to come...
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