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Individual

KELLY CATHERINE SCHWAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
101 E HAYWARD ST, MEADVILLE, MO 64659-9201
(660) 938-4213
(660) 938-4211
Mailing address
101 E HAYWARD ST, MEADVILLE, MO 64659-9201
(660) 938-4213
(660) 938-4211

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001015706
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316196751
MO
Enumeration date
09/10/2008
Last updated
11/15/2012
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