Individual
MRS. KATHRYN LENORE SEVERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1500 N OAKLAND AVE, CITIZEN'S MEMORIAL HEALTHCARE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1229 E 425TH RD, BOLIVAR, MO 65613-8377
(417) 399-9498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001015843
MO
Other
Enumeration date
03/04/2008
Last updated
08/12/2016
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