Individual
DR. CASEY AMANDA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-4584
(573) 754-5280
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-4584
(573) 754-5280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007018507
MO
Other
Enumeration date
08/08/2007
Last updated
05/20/2021
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