Individual
KAYLA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
875 STATE ROUTE VV, KENNETT, MO 63857-9108
(573) 888-5925
Mailing address
875 STATE ROUTE VV, KENNETT, MO 63857-9108
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/31/2018
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