Individual
KATLIN LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
Mailing address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021045473
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2021
Last updated
11/11/2021
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