Individual
KERI LYNN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1730 E REPUBLIC RD STE K, SPRINGFIELD, MO 65804-6519
(417) 881-4994
(417) 881-4998
Mailing address
1435 E BRADFORD PARKWAY SUITE 105, SPRINGFIELD, MO 65804-6519
(417) 881-4994
(417) 881-4998
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2010006173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508157140
NPI
MO
01
—
1730456013
NPI
MO
Enumeration date
03/03/2010
Last updated
12/11/2013
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