Individual
MRS. KORTNEY LYNN MCFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CORPORATE LAKE DR, COLUMBIA, MO 65203-7172
(573) 814-1170
(573) 530-1037
Mailing address
1575 N PIN OAK BLVD, COLUMBIA, MO 65202-6955
(573) 819-8941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016002331
MO
363LF0000X
Family Nurse Practitioner
Primary
2025003624
MO
Other
Enumeration date
12/07/2024
Last updated
02/10/2025
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