Individual
KINSEY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 E EDGEWOOD ST, SPRINGFIELD, MO 65804-3617
(417) 771-5353
Mailing address
1326 E EDGEWOOD ST, SPRINGFIELD, MO 65804-3617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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