Individual
PAMELA STILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Mailing address
8333 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(816) 474-7677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006025001
MO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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