Individual
KEILA BETZAIRA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3401 MCINTOSH CIR STE 100, JOPLIN, MO 64804-3651
(417) 347-7200
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019039974
MO
Other
Enumeration date
07/29/2019
Last updated
03/21/2024
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