Individual
MRS. KELLI EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
Mailing address
5076 HIGHWAY U, PALMYRA, MO 63461-3228
(573) 231-2327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020017362
MO
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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