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Individual

KELLY ANN BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6605

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019019657
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2019
Last updated
10/11/2019
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