Organization
KENNETT HMA LLC
Active
Other names
Twin Rivers Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
509 SOUTH BYP, KENNETT, MO 63857-3248
(573) 888-0444
(573) 888-0450
Mailing address
509 SOUTH BYP, KENNETT, MO 63857-3248
(573) 888-0444
(573) 888-0450
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
5147
MO
Other
Enumeration date
09/25/2009
Last updated
10/09/2017
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