Individual
MRS. KERI LEE HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 207-7725
Mailing address
200 JAMES DR, CLINTON, MO 64735-1853
(660) 441-0885
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2016004491
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/07/2020
Last updated
10/07/2020
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