Individual
MRS. KRISTAL LYNN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N SECOND ST, CLINTON, MO 64735
(660) 885-5511
(660) 885-8496
Mailing address
1600 N SECOND ST, CLINTON, MO 64735
(660) 885-5511
(660) 885-8496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005004021
MO
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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