Please submit the following information to enroll in KAAP's quality improvement program for increasing childhood immunization rates. Save the date for the kick-off meeting on Wednesday, April 5, Noon to 1:30 pm, via Zoom. A meeting invite will be sent to you after enrollment. 

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* 1. Name

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* 2. Credentials or designation

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* 3. Practice Name

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* 4. Practice Address

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* 5. Email address

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* 6. Phone

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* 7. American Board of Pediatrics (ABP) #

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* 8. Do you upload all immunization data to the state registry, WebIZ? 

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