Individual
KELVIN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 NORTH BYPASS, KENNETT, MO 63857
(573) 727-8038
Mailing address
314 SMITH AVE APT B, SIKESTON, MO 63801-5244
(573) 258-9415
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2022035545
MO
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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