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Individual

MRS. KRISTIN C ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN FNP-C

Contact information

Practice address
805 GULF ST., LAMAR, MO 64759-1238
(417) 682-5508
(417) 682-5594
Mailing address
805 GULF ST., LAMAR, MO 64759-1238
(417) 682-5508
(417) 682-5594

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
139455
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200133580A
OK
05
200546830A
KS
05
424028801
MO
Enumeration date
03/13/2007
Last updated
02/15/2012
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