Individual
MRS. KAMEALYA LEAH FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
1326 S SERVICE RD W STE 10, SULLIVAN, MO 63080
(573) 468-4455
Mailing address
1326 S SERVICE RD W STE 10, SULLIVAN, MO 63080-2306
(573) 468-4455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017009934
MO
Other
Enumeration date
05/01/2017
Last updated
05/16/2018
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