Individual
HOLLY JEAN KREIENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 DOTSON RD, CUBA, MO 65453-6146
(573) 259-3512
(573) 732-3172
Mailing address
571 DOTSON RD, CUBA, MO 65453-6146
(573) 259-3512
(573) 732-3172
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
12042
MO
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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