Individual
KEVIN PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
(417) 820-6782
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
343607
MO
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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