Individual
MRS. KALLAN ELAINE FIMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 E PRIMROSE ST, SPRINGFIELD, MO 65804-7929
(417) 885-4700
Mailing address
172 QUINCY RD, KIRBYVILLE, MO 65679-9319
(918) 645-0579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023004369
MO
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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