Individual
MISS KIMBERLY SUSAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7196
(417) 466-4081
Mailing address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7196
(417) 466-4081
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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