Individual
KATHRYN LOUISE VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2025043473
MO
Other
Enumeration date
09/03/2025
Last updated
10/09/2025
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