Individual
MATTALINE PIPER KILLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29610 NE 174TH ST, LAWSON, MO 64062-8941
(816) 898-5386
Mailing address
29610 NE 174TH ST, LAWSON, MO 64062-8941
(816) 898-5386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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