Individual
KAYLYNN JO SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6000
Mailing address
1210 EMERALD DR, DAVENPORT, IA 52804-4216
(563) 349-0069
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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