Basic Information
Provider Information
NPI: 1083172555
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZLOTKY
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2902 SW ASBURY DR
Address2:  
City: TOPEKA
State: KS
PostalCode: 666144466
CountryCode: US
TelephoneNumber: 7853549591
FaxNumber: 7853274142
Practice Location
Address1: 2902 SW ASBURY DR
Address2:  
City: TOPEKA
State: KS
PostalCode: 666144466
CountryCode: US
TelephoneNumber: 7853549591
FaxNumber: 7853274142
Other Information
ProviderEnumerationDate: 03/04/2019
LastUpdateDate: 03/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X53-78583-072KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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