Individual
NATHAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WEST JEFFERSON ST, KIRKSVILLE, MO 63501
(866) 626-2878
Mailing address
605 W LAHARPE ST, KIRKSVILLE, MO 63501-1803
(903) 832-4681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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