Individual
CASEY SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 KIME ST, WILLARD, MO 65781-7265
(417) 742-0930
Mailing address
10350 W FARM ROAD 144, SPRINGFIELD, MO 65802-8756
(660) 281-6179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012026274
MO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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