Individual
KADY FEARNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 LUSK DR, NEOSHO, MO 64850-2028
(417) 451-1177
Mailing address
3200 LUSK DR, NEOSHO, MO 64850-2028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021026184
MO
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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