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Individual

KELLY CHRISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPC

Contact information

Practice address
3151 LITTON RD, CHILLICOTHE, MO 64601-8502
(660) 646-4032
Mailing address
30566 LUNAR DR, MARCELINE, MO 64658-1840
(660) 591-6217

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015043928
MO

Other

Enumeration date
12/22/2015
Last updated
05/28/2020
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