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Individual

KRISTEN SHAVAUGHN STAMPEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 392-5654
(573) 392-5692
Mailing address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 392-5654
(573) 392-5692

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019000617
MO
363LF0000X
Family Nurse Practitioner
209015980
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420078166
MO
Enumeration date
06/02/2017
Last updated
03/24/2026
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