Individual
KAREN JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(417) 257-7076
Mailing address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(174) 257-7076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022028763
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/09/2019
Last updated
09/20/2023
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