Individual
KAYLA FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 SE 1181, KNOB NOSTER, MO 65336-2159
(417) 300-1269
Mailing address
116 W SOUTH ST, WARRENSBURG, MO 64093-2324
(417) 300-1269
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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