Individual
MS. KYLA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT (ASCP)
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2757
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2757
Taxonomy
Speciality
Code
Description
License number
State
246QB0000X
Blood Banking Specialist/Technologist
—
—
246QM0706X
Medical Technologist
Primary
—
MO
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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