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Individual

DR. KATHRYN KORRELL HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2016 E BRIAR ST, SPRINGFIELD, MO 65804-7511
(314) 607-0262
Mailing address
2016 E BRIAR ST, SPRINGFIELD, MO 65804-7511
(314) 607-0262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010017229
MO
207Q00000X
Family Medicine Physician
Primary
2013013916
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154642577
MO
Enumeration date
06/21/2010
Last updated
02/05/2018
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