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Individual

KRISTEN DEANE TARWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
551 VETERANS UNITED DR, COLUMBIA, MO 65201-8397
(573) 884-7733
(573) 882-6228
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004023909
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201763901
MO
01
211015
BLUE SHIELD
MO
01
755735
HEALTHLINK
MO
Enumeration date
07/17/2006
Last updated
08/15/2024
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