Individual
KELBIE B. ABERCROMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804
(417) 888-6790
Mailing address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4268
(417) 888-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011001802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1125323001
—
MO
Enumeration date
01/24/2011
Last updated
07/06/2018
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