Individual
KAITLYN WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3211 GAZELLE DR, COLUMBIA, MO 65202-1583
(309) 634-9638
Mailing address
3211 GAZELLE DR, COLUMBIA, MO 65202-1583
(309) 634-9638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00000000000
FL
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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