Individual
KELSI L GOANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 N MONTEGO ST, NIXA, MO 65714-9183
(660) 227-1007
Mailing address
655 N MONTEGO ST, NIXA, MO 65714-9183
(660) 227-1007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023045680
MO
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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