Individual
KASONDRA BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
874 S JEFFERSON, LEBANON, MO 65536
(417) 532-3495
(417) 532-3598
Mailing address
PO BOX 396, RICHLAND, MO 65556-0396
(417) 532-3495
(417) 532-3598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006006060
MO
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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