Individual
KATHY MAE BURPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1789 COUNTY ROAD 459, POPLAR BLUFF, MO 63901-7670
(636) 582-0063
Mailing address
1789 COUNTY ROAD 459, POPLAR BLUFF, MO 63901-7670
(636) 582-0063
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MO
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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